MS. LUCILLE WHITAKER, 11434

Nurse Practitioner - Family

Active Individual
NPI: 1467731430

Practice Address

575 PRICE ST
SUITE 313
Pismo Beach, CA 93449

Phone: (805) 201-9135

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 348574 (CA)

Frequently Asked Questions

NPI 1467731430 is the National Provider Identifier for MS. LUCILLE WHITAKER, 11434, a Nurse Practitioner - Family provider located in Pismo Beach, CA. This NPI was enumerated on August 9, 2011.
MS. LUCILLE WHITAKER, 11434 practices at 575 PRICE ST, SUITE 313, Pismo Beach, CA 93449.

Quick Facts

NPI
1467731430
Type
Individual
Enumerated
Aug 9, 2011
Last Updated
Aug 9, 2011

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