Individual provider · Type 1 NPI
Miriam Claire Lakes, NP
Nurse Practitioner · Stockton, CA
Practice location
747 Channel Street
Stockton, CA 95202
Mailing address
1011 S Tuxedo Ave
Stockton, CA 95204-6219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95017948 (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 1871164822
Miriam Claire Lakes, NP's National Provider Identifier is 1871164822, issued on Jul 9, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stockton, CA. The record was last updated on Oct 31, 2022.