Provider Demographics
NPI:1114738689
Name:KINSELLA, JOYCE VALERIE SORIANO (FNP-C)
Entity type:Individual
Prefix:
First Name:JOYCE VALERIE
Middle Name:SORIANO
Last Name:KINSELLA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 E DE ORA WAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-2607
Mailing Address - Country:US
Mailing Address - Phone:714-261-8486
Mailing Address - Fax:
Practice Address - Street 1:4111 E DE ORA WAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-2607
Practice Address - Country:US
Practice Address - Phone:714-261-8486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033577363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily