Individual provider · Type 1 NPI
Casey Wollenberg, RN, FNP
Family Nurse Practitioner · Los Angeles, CA
NPI number
1174001804
Active
Practice location
1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95009609 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174001804
Casey Wollenberg, RN, FNP's National Provider Identifier is 1174001804, issued on Aug 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 7, 2023.