MILISSA ANN DEFAZIO RN
NPI 1477376283
Registered Nurse - Critical Care Medicine in La Verne, CA
Active since November 01, 2024
About Milissa Ann Defazio Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILISSA ANN DEFAZIO RN (NPI 1477376283) is an individual critical care medicine provider in La Verne, California, licensed in California (95043893) and active in the NPI registry since November 2024.
NPPES Registry Identity
NPI1477376283
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameMILISSA ANN DEFAZIOCredential: RN
Location Address1238 BEAVER WAYLa Verne, CA 91750-2520
Mailing Address1238 Beaver WayLa Verne, CA 91750-2520 · (626) 227-3172
Phone(626) 227-3172
Sole ProprietorNo
Enumeration DateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1477376283 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in CA · 95043893
1238 BEAVER WAY, La Verne, CA 91750
Other Names 1
Former Name (1)Milissa Ann Duggan
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477376283, enumerated as an "individual" on November 01, 2024.
The provider is located at 1238 BEAVER WAY LA VERNE, CA 91750 and the phone number is (626) 227-3172.
Registered Nurse with taxonomy code 163WC0200X and a focus in Critical Care Medicine.
