Provider Demographics
NPI:1861585143
Name:HILDEBRAND, JANETT AMANDA (NP)
Entity type:Individual
Prefix:MS
First Name:JANETT
Middle Name:AMANDA
Last Name:HILDEBRAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:1206 E 17TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-2641
Mailing Address - Country:US
Mailing Address - Phone:714-352-2911
Mailing Address - Fax:714-380-6235
Practice Address - Street 1:363 S MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3833
Practice Address - Country:US
Practice Address - Phone:714-744-8801
Practice Address - Fax:714-744-8629
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA388794363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily