Individual provider · Type 1 NPI
Lovella Medilo, NP
Nurse Practitioner · San Diego, CA
Practice location
5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338
Fax (858) 295-3948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP020368 (PA) |
| Nurse Practitioner Primary | 363L00000X | 95010904 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1659930485
Lovella Medilo, NP's National Provider Identifier is 1659930485, issued on Jun 5, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Apr 24, 2024.