Provider Demographics
NPI:1407686124
Name:FERRER, ANNIE MARIE (FNP)
Entity type:Individual
Prefix:
First Name:ANNIE MARIE
Middle Name:
Last Name:FERRER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 W LA HABRA BLVD APT 4
Mailing Address - Street 2:
Mailing Address - City:LA HABRA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5058
Mailing Address - Country:US
Mailing Address - Phone:310-940-3390
Mailing Address - Fax:
Practice Address - Street 1:2301 W LA HABRA BLVD APT 4
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-5058
Practice Address - Country:US
Practice Address - Phone:310-940-3390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027867363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner