Individual provider · Type 1 NPI

Carolyn Joyce Wadsworth, NURSE PRACTITONER

Pediatric Nurse Practitioner · Pasadena, CA

NPI number 1366587206 Active

Practice location

351 S Hudson Ave
Pasadena, CA 91101-3507

Fax (626) 584-1540

Mailing address

4082 Denver Ave
Yorba Linda, CA 92886-1944

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X245433 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366587206

Carolyn Joyce Wadsworth, NURSE PRACTITONER's National Provider Identifier is 1366587206, issued on Feb 20, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Pasadena, CA. The record was last updated on Jul 9, 2007.