Individual provider · Type 1 NPI
Courtney Dane Carmichael, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Santa Monica, CA
NPI number
1831271196
Active
Practice location
2001 Santa Monica Blvd, Suite 1170 W
Santa Monica, CA 90404-2102
Fax (310) 828-8331
Mailing address
16335 Community St
North Hills, CA 91343-6211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 16704 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1831271196
Courtney Dane Carmichael, NURSE PRACTITIONER's National Provider Identifier is 1831271196, issued on Oct 19, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 29, 2009.