Provider Demographics
NPI:1528807385
Name:CALDERON, APRILYN (NP)
Entity type:Individual
Prefix:
First Name:APRILYN
Middle Name:
Last Name:CALDERON
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 1:5737 LOS AMIGOS ST
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-2710
Mailing Address - Country:US
Mailing Address - Phone:310-567-3649
Mailing Address - Fax:
Practice Address - Street 1:5737 LOS AMIGOS ST
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-2710
Practice Address - Country:US
Practice Address - Phone:310-567-3649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95030125363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner