Individual provider · Type 1 NPI
Lucille Amelia Whitaker, 11434
Family Nurse Practitioner · Pismo Beach, CA
NPI number
1467731430
Active
Practice location
575 Price St, Suite 313
Pismo Beach, CA 93449-2553
Fax (805) 201-9134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 348574 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1467731430
Lucille Amelia Whitaker, 11434's National Provider Identifier is 1467731430, issued on Aug 9, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pismo Beach, CA. The record was last updated on Aug 9, 2011.