Provider Demographics
NPI:1962744185
Name:ESPOSITO-NGUYEN, ENZA (RN, MSN, ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:ENZA
Middle Name:
Last Name:ESPOSITO-NGUYEN
Suffix:
Gender:F
Credentials:RN, MSN, ANP-BC
Other - Prefix:MS
Other - First Name:ENZA
Other - Middle Name:
Other - Last Name:LUKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, ANP-BC
Mailing Address - Street 1:1000 W LA VETA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4304
Mailing Address - Country:US
Mailing Address - Phone:714-734-6237
Mailing Address - Fax:714-734-6231
Practice Address - Street 1:1000 W LA VETA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4304
Practice Address - Country:US
Practice Address - Phone:714-734-6237
Practice Address - Fax:714-734-6231
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15240163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology