Individual provider · Type 1 NPI
Kristen Ethridge, NP
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1487979001
Active
Practice location
10833 Le Conte Ave
Los Angeles, CA 90095-6062
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice locations
- 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 · (323) 361-4148
- 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 · (323) 361-4148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 342343 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 10455 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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- Kelly Barth, NPPediatric Nurse Practitioner Los Angeles, CA NPI 1013360213
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About NPI 1487979001
Kristen Ethridge, NP's National Provider Identifier is 1487979001, issued on Apr 7, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 17, 2018.