Individual provider · Type 1 NPI

Fernando Mediano

Nurse Practitioner · La Jolla, CA

NPI number 1730558743 Active

Practice location

9300 Campus Point Dr
La Jolla, CA 92037-1300

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP95005764 (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 1730558743

Fernando Mediano's National Provider Identifier is 1730558743, issued on Sep 20, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Jolla, CA. The record was last updated on Sep 25, 2017.