Individual provider · Type 1 NPI

Vicki L. Charbonneau, NP, CNM

Nurse Practitioner · San Luis Obispo, CA

NPI number 1932216264 Active

Practice location

35 Casa Street, Suite 220
San Luis Obispo, CA 93405-1890

Call (805) 786-4111 Map

Fax (805) 543-6357

Mailing address

117 West Bunny Avenue
Santa Maria, CA 93458-2805

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	9600 (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 1932216264

Vicki L. Charbonneau, NP, CNM's National Provider Identifier is 1932216264, issued on Aug 24, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 16, 2015.