Individual provider · Type 1 NPI
Randi Pucely
Family Nurse Practitioner · San Diego, CA
NPI number
1043682255
Active
Practice location
3020 Childrens Way
San Diego, CA 92123-4223
Mailing address
3020 Childrens Way # MC5003
San Diego, CA 92123-4223
Other practice locations
- 3327 Rosecrans St, San Diego, CA 92110-4223 · (866) 389-2727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95006465 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1043682255
Randi Pucely's National Provider Identifier is 1043682255, issued on Oct 27, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Nov 29, 2021.