LEGACY ADVANCED NURSING PRACTICE INCORPORATED
NPI 1548905391
Nurse Practitioner - Psychiatric/Mental Health in Anaheim, CA

Q: What is Legacy Advanced Nursing Practice Incorporated's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 04, 2022

710 N EUCLID ST STE 208, ANAHEIM, CA 92801(714) 844-5804(714) 888-7216 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 29, 2022, May 7, 2022 (2 updates tracked since 2022).

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About Legacy Advanced Nursing Practice Incorporated NPPES

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

LEGACY ADVANCED NURSING PRACTICE INCORPORATED (NPI 1548905391) is a healthcare organization registered as a psychiatric/mental health in Anaheim, California and active in the NPI registry since May 2022. The organization lists Tyisha Renee Fletcher, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1548905391

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameLEGACY ADVANCED NURSING PRACTICE INCORPORATED

Location Address710 N EUCLID ST STE 208Anaheim, CA 92801-4132

Mailing Address5318 E 2nd St # 339Long Beach, CA 90803-5324 · (310) 251-6727

Phone(714) 844-5804

Fax(714) 888-7216

Organization SubpartNo

Authorized OfficialTyisha Renee FletcherNurse Practitioner · (310) 251-6727

Enumeration DateMay 4, 2022

Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration

NPPES CertifiedDecember 29, 2022

✔ NPI 1548905391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

710 N EUCLID ST STE 208, Anaheim, CA 92801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

YETUNDE LIGALI

Nurse Practitioner (Psychiatric/Mental Health)