Individual provider · Type 1 NPI
Desiree Idolly Tucker, NP BC
Family Nurse Practitioner · Newport Beach, CA
NPI number
1275443095
Active
Practice location
4000 Macarthur Blvd Ste 600
Newport Beach, CA 92660-2517
Mailing address
504 Sonia
Irvine, CA 92618-5913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95039297 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275443095
Desiree Idolly Tucker, NP BC's National Provider Identifier is 1275443095, issued on Sep 11, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newport Beach, CA. The record was last updated on Sep 11, 2026.