Individual provider · Type 1 NPI
STP Journey Gulles, NP
Gerontology Nurse Practitioner · Riverside, CA
NPI number
1013653286
Active
Practice location
4100 Latham St Ste E
Riverside, CA 92501-1733
Mailing address
6400 Shafer Ct Ste 700
Rosemont, IL 60018-4989
Other practice locations
- 16745 W Bernardo Dr, San Diego, CA 92127-1907 · (858) 592-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95020502 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1013653286
STP Journey Gulles, NP's National Provider Identifier is 1013653286, issued on May 10, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Riverside, CA. The record was last updated on Oct 20, 2022.