Provider Demographics
NPI:1164218475
Name:HILAHAN, KRIZELLE AICA DIZON (NP, RN)
Entity type:Individual
Prefix:
First Name:KRIZELLE AICA
Middle Name:DIZON
Last Name:HILAHAN
Suffix:
Gender:F
Credentials:NP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2072 S FLIPPEN DR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-3911
Mailing Address - Country:US
Mailing Address - Phone:714-349-2083
Mailing Address - Fax:
Practice Address - Street 1:2072 S FLIPPEN DR
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-3911
Practice Address - Country:US
Practice Address - Phone:714-349-2083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033830363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner