Hadilaksono, Anna Jadwiga

Hadilaksono, Anna Jadwiga is an individual health care provider with primary practice located at 135 Carmen Ln , Santa Maria CA 93458-7729. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Hadilaksono, Anna Jadwiga can be contacted via phone (805) 928-7361.

Contact Information

Primary practice address
135 Carmen Ln Santa Maria CA 93458-7729
Phone: (805) 928-7361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95010045 California

Profile Details

NPI number 1922582832
LBN Legal business name Hadilaksono, Anna Jadwiga
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Sep 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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