Individual provider · Type 1 NPI
Summer Ann Kirtley, NP, CNS
Pediatric Nurse Practitioner · San Diego, CA
NPI number
1154059830
Active
Practice location
200 W Arbor Dr # 8929
San Diego, CA 92103-1911
Mailing address
1444 Main St Unit 1585
Ramona, CA 92065-8153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 639490 (CA) |
| Pediatric Clinical Nurse Specialist | 364SP0200X | 4447 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 21777 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1154059830
Summer Ann Kirtley, NP, CNS's National Provider Identifier is 1154059830, issued on Aug 10, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Diego, CA. The record was last updated on Aug 10, 2022.