ENNEMAN IRENE TAD-AWAN NP
NPI 1023816501
Nurse Practitioner in San Diego, CA

Q: What is Enneman Irene Tad-awan's NPI number?

The NPI number for Enneman Irene Tad-awan is 1023816501. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Q: What is Enneman Irene Tad-awan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 03, 2025

1173 FRONT ST, SAN DIEGO, CA 92101(619) 409-5000 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Enneman Irene Tad-awan Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENNEMAN IRENE TAD-AWAN NP (NPI 1023816501) is an individual nurse practitioner in San Diego, California, licensed in California (95029080) and active in the NPI registry since March 2025. She maintains a secondary practice location in Santee.

NPPES Registry Identity

NPI1023816501

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameENNEMAN IRENE TAD-AWANCredential: NP

Location Address1173 FRONT STSan Diego, CA 92101-3904

Mailing Address683 Ash AveChula Vista, CA 91910-5338 · (417) 860-9671

Phone(619) 409-5000

Sole ProprietorNo

Enumeration DateMarch 3, 2025

NPPES CertifiedMarch 3, 2025

✔ NPI 1023816501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95029080

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1173 FRONT ST, San Diego, CA 92101

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Secondary Practice Location 1

Location 1451 Riverview PkwySantee, CA 92071-5829 · Phone (619) 258-3200

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIE DARRELL BRANCH APCC

Counselor (Mental Health)