Individual provider · Type 1 NPI

Carlyn McLean Fostakowsky, R.N., M.S.N., N.P.

Acute Care Nurse Practitioner · Santa Monica, CA

NPI number 1760754659 Active

Practice location

2001 Santa Monica Blvd Ste 280W
Santa Monica, CA 90404-2172

Call (310) 829-7678 Map

Fax (310) 829-6889

Mailing address

2001 Santa Monica Blvd, Suite 280W
Santa Monica, CA 90404-2102

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X21062 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1760754659

Carlyn McLean Fostakowsky, R.N., M.S.N., N.P.'s National Provider Identifier is 1760754659, issued on Feb 7, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Santa Monica, CA. The record was last updated on Mar 31, 2021.