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Ni Ketut Supiyati
Nurse Practitioner in Huntington Park, California
NPI 1023497443

Ni Ketut Supiyati is a Nurse Practitioner based in Huntington Park, CA. Ni Ketut Supiyati practices in Huntington Park, CA. The NPI Number for Ni Ketut Supiyati is 1023497443 and holds a License No. NP95001498 (California).

The current practice location address for Ni Ketut Supiyati is 2638 E Florence Ave, Huntington Park, CA and can be reached out via phone at 323-581-4665 and via fax at 323-581-0551.

Location: 2638 E Florence Ave, Huntington Park, CA, 90255-4708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023497443
Provider Name
Ni Ketut Supiyati
Credential
Provider Entity Type
Individual
Gender
Female
Address
2638 E Florence Ave, Huntington Park, CA, 90255-4708
Phone Number
323-581-4665
Fax Number
323-581-0551
Provider Enumeration Date
05/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95001498 05 CA
institution
Provider Business Practice Location Address Details
Address
2638 E Florence Ave
City
Huntington Park
State
California
Zip
90255-4708
Phone Number
323-581-4665
Fax Number
323-581-0551
person
Provider Business Mailing Address Details
Address
2638 E Florence Ave
City
Huntington Park
State
California
Zip
90255-4708
Phone Number
323-581-4665
Fax Number
323-581-0551
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP95001498 (California)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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