Individual provider · Type 1 NPI

Mary Okimoto, NP

Nurse Practitioner · San Luis Obispo, CA

NPI number 1144400771 Active

Practice location

892 Aerovista Pl Ste 240
San Luis Obispo, CA 93401-8054

Mailing address

5767 W Century Blvd Suite 400
Los Angeles, CA 90095-5631

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X567717 (CA)
Nurse Practitioner Primary 363L00000X17444 (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 1144400771

Mary Okimoto, NP's National Provider Identifier is 1144400771, issued on Nov 12, 2007. 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 Feb 11, 2025.