Individual provider · Type 1 NPI
Tessa Godelman
Acute Care Nurse Practitioner · Newport Beach, CA
NPI number
1770301079
Active
Practice location
22 Ebb Tide Cir
Newport Beach, CA 92663-2842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95029997 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1770301079
Tessa Godelman's National Provider Identifier is 1770301079, issued on Sep 26, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Newport Beach, CA. The record was last updated on Sep 26, 2024.