Individual provider · Type 1 NPI

Lauren Elvira Mirabdollah, N.P.

Nurse Practitioner · San Luis Obispo, CA

NPI number 1003235904 Active

Practice location

77 Casa St, Suite 201-204
San Luis Obispo, CA 93405-5803

Call (805) 269-1500 Map

Fax (805) 269-1585

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95000334 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003235904

Lauren Elvira Mirabdollah, N.P.'s National Provider Identifier is 1003235904, issued on Apr 8, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Aug 24, 2015.