Provider Demographics
NPI:1588913537
Name:HEFNER, ANNA MARIE (NP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:HEFNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1428 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-4624
Mailing Address - Country:US
Mailing Address - Phone:844-200-2426
Mailing Address - Fax:619-474-4008
Practice Address - Street 1:10737 CAMINO RUIZ STE 235
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2375
Practice Address - Country:US
Practice Address - Phone:844-200-2426
Practice Address - Fax:619-474-4008
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA5512363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner