Individual provider · Type 1 NPI
Elizabeth C. Kicko, WHNP, CNM, PHN
Women's Health Nurse Practitioner · San Diego, CA
NPI number
1982000352
Active
Practice location
4514 38th Street
San Diego, CA 92105-1108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 95001452 (CA) |
| Advanced Practice Midwife | 367A00000X | 235680 (CA) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1982000352
Elizabeth C. Kicko, WHNP, CNM, PHN's National Provider Identifier is 1982000352, issued on Nov 13, 2014. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in San Diego, CA. The record was last updated on Nov 13, 2014.