Provider Demographics
NPI:1316331663
Name:MARANA, RHEA APIN (NP)
Entity type:Individual
Prefix:
First Name:RHEA
Middle Name:APIN
Last Name:MARANA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 CIVIC CENTER PLAZA
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-3878
Mailing Address - Country:US
Mailing Address - Phone:714-245-8155
Mailing Address - Fax:
Practice Address - Street 1:62 CIVIC CENTERPLAZA
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-3878
Practice Address - Country:US
Practice Address - Phone:714-245-8155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002263363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner