Individual provider · Type 1 NPI
Sowmya Krishnan, NP
Gerontology Nurse Practitioner · Costa Mesa, CA
NPI number
1164110219
Active
Practice location
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Fax (562) 803-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95024829 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1164110219
Sowmya Krishnan, NP's National Provider Identifier is 1164110219, issued on Apr 26, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 17, 2025.