Individual provider · Type 1 NPI
Kathy Tialdimpar Lewis, NURSE PRACTITIONER
Family Nurse Practitioner · San Diego, CA
NPI number
1285348987
Active
Practice location
4060 Fairmount Ave
San Diego, CA 92105-1608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95025965 (CA) |
| Family Nurse Practitioner | 363LF0000X | R218145 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1285348987
Kathy Tialdimpar Lewis, NURSE PRACTITIONER's National Provider Identifier is 1285348987, issued on Jan 9, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Jan 22, 2025.