Provider Demographics
NPI:1407677883
Name:OPANEL, HUNTER ROSE (MSN, FNP)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:ROSE
Last Name:OPANEL
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:HUNTER
Other - Middle Name:ROSE
Other - Last Name:PELLEGRINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16900 ALGONQUIN ST APT 7
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3833
Mailing Address - Country:US
Mailing Address - Phone:559-960-3750
Mailing Address - Fax:
Practice Address - Street 1:16900 ALGONQUIN ST APT 7
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-3833
Practice Address - Country:US
Practice Address - Phone:559-960-3750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily