Provider Demographics
NPI:1699438515
Name:SERGENT, ANNALISA (CPNP)
Entity type:Individual
Prefix:
First Name:ANNALISA
Middle Name:
Last Name:SERGENT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:ANNALISA
Other - Middle Name:
Other - Last Name:BARCA-HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:2 UPPER RAGSDALE DR STE B210
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7851
Mailing Address - Country:US
Mailing Address - Phone:831-333-0999
Mailing Address - Fax:831-333-0909
Practice Address - Street 1:2 UPPER RAGSDALE DR STE B210
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7851
Practice Address - Country:US
Practice Address - Phone:831-333-0999
Practice Address - Fax:831-333-0909
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018645363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics