Provider Demographics
NPI:1285146365
Name:NEAL, ANA LUISA CABRALES (ND, DNP)
Entity type:Individual
Prefix:DR
First Name:ANA LUISA
Middle Name:CABRALES
Last Name:NEAL
Suffix:
Gender:F
Credentials:ND, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8108 NE 126TH ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2510
Mailing Address - Country:US
Mailing Address - Phone:425-505-5211
Mailing Address - Fax:
Practice Address - Street 1:18151 68TH AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-2835
Practice Address - Country:US
Practice Address - Phone:425-485-6561
Practice Address - Fax:425-488-4939
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-30
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0134136175F00000X
MARN2336674363LP2300X
WAAP61431529363LP2300X
CA1257175F00000X
OR201709156NP-PP363LF0000X
OR201709158DP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily