Individual provider · Type 1 NPI
Irene E. Vega, RN, PHN
Administrator Registered Nurse · San Luis Obispo, CA
NPI number
1003077793
Active
Practice location
2191 Johnson Ave
San Luis Obispo, CA 93401-4534
Fax (805) 781-1372
Mailing address
2623 Brentwood Cir
Arroyo Grande, CA 93420-6505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | RN182833 (CA) |
Administrator Registered Nurse: Definition to come...
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About NPI 1003077793
Irene E. Vega, RN, PHN's National Provider Identifier is 1003077793, issued on Jun 24, 2008. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jun 24, 2008.