Individual provider · Type 1 NPI
Carol J. Haddock, RN-BC
Administrator Registered Nurse · San Diego, CA
NPI number
1386775344
Active
Practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Mailing address
PO Box 28644
San Diego, CA 92198-0644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 434639 (TX) |
| Community Health Registered Nurse | 163WC1500X | 434639 (TX) |
| Diabetes Educator Registered Nurse | 163WD0400X | 434639 (TX) |
| Ambulatory Care Registered Nurse | 163WP2201X | 434639 (TX) |
Administrator Registered Nurse: Definition to come...
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About NPI 1386775344
Carol J. Haddock, RN-BC's National Provider Identifier is 1386775344, issued on Mar 8, 2007. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in San Diego, CA. The record was last updated on Sep 11, 2025.