Individual provider · Type 1 NPI
Celeste Marie Mikulics, NURSE PRACTITIONER
Nurse Practitioner · La Mesa, CA
Practice location
5555 Grossmont Center Dr, Wound Healign Center
La Mesa, CA 91942-3019
Mailing address
3821 Azalea Gln
Escondido, CA 92025-7905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 446338 (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 1124165295
Celeste Marie Mikulics, NURSE PRACTITIONER's National Provider Identifier is 1124165295, issued on Jan 30, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Mesa, CA. The record was last updated on Jul 8, 2007.