Individual provider · Type 1 NPI

Kristine M. Wackerly

Registered Nurse · San Diego, CA

NPI number 1467758318 Active

Practice location

6160 Mission Gorge Rd, Suite 120
San Diego, CA 92120-3410

Call (619) 282-2232 Map

Fax (619) 282-2992

Mailing address

447 N El Molino Ave
Pasadena, CA 91101-1403

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X381733 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1467758318

Kristine M. Wackerly's National Provider Identifier is 1467758318, issued on Feb 9, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 9, 2011.