Individual provider · Type 1 NPI
Nalinee Mathitak
Gerontology Nurse Practitioner · Trabuco Canyon, CA
NPI number
1396104741
Active
Practice location
39 Muirfield
Trabuco Canyon, CA 92679-3421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 807685 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | NP95003807 (CA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1396104741
Nalinee Mathitak's National Provider Identifier is 1396104741, issued on Feb 14, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Feb 14, 2016.