Individual provider · Type 1 NPI
Jerryper Colegado
Acute Care Nurse Practitioner · Loma Linda, CA
NPI number
1063674307
Active
Practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 16076 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1063674307
Jerryper Colegado's National Provider Identifier is 1063674307, issued on Jun 27, 2008. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Loma Linda, CA. The record was last updated on Jun 27, 2008.