Individual provider · Type 1 NPI

Kandice Medina, FNP

Registered Nurse · San Diego, CA

NPI number 1548021520 Active

Practice location

5050 La Jolla Blvd Apt 2G
San Diego, CA 92109-1708

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X736924 (CA)
Registered Nurse Primary 163W00000X736924 (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 1548021520

Kandice Medina, FNP's National Provider Identifier is 1548021520, issued on Jan 17, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Diego, CA. The record was last updated on Apr 9, 2026.