Individual provider · Type 1 NPI
Rikelle Wussow
Nurse Practitioner · Santa Monica, CA
Practice location
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Mailing address
519 California Ave Apt 203
Santa Monica, CA 90403-3944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95026825 (CA) |
| Gerontology Nurse Practitioner | 363LG0600X | 95026825 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95026825 (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 1174307557
Rikelle Wussow's National Provider Identifier is 1174307557, issued on Aug 24, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Monica, CA. The record was last updated on Oct 22, 2026.