IndividualActive
Angie Ellaboudy, DNP, CPNP-PC
NPI 1083342307 · Pediatric Nurse Practitioner · Foothill Ranch, CA
Provider details
- NPI number
- 1083342307
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 95020643 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
26700 Towne Centre Dr Ste 150
Foothill Ranch, CA 92610-2845
Phone: (949) 837-7337
Approximate (ZIP-level) locationGet directions
Mailing address
318 W Weeping Willow Ave
Orange, CA 92865-1089
Registry dates
- Enumerated
- 2022-08-13
- Last updated
- 2022-08-13
- Certified
- 2022-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.