Individual provider · Type 1 NPI

Philip Al Alibudbud, RN

Gerontology Nurse Practitioner · Elk Grove, CA

NPI number 1972338382 Active

Practice location

5401 Moonlight Way
Elk Grove, CA 95758-6850

Call (209) 763-8058 Map

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XNP95032777 (CA)
Registered Nurse 163W00000X95022405 (CA)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1972338382

Philip Al Alibudbud, RN's National Provider Identifier is 1972338382, issued on Sep 5, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Elk Grove, CA. The record was last updated on Dec 4, 2024.