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Keri Cavallo, FNP-C
Nurse Practitioner in Costa Mesa, California
NPI 1265951727

Keri Cavallo is a Nurse Practitioner based in Costa Mesa, CA. Keri Cavallo practices in Costa Mesa, CA and has the professional credentials of FNP-C. The NPI Number for Keri Cavallo is 1265951727 and holds a License No. 95006968 (California).

The current practice location address for Keri Cavallo is 2200 Harbor Blvd Ste B220, Costa Mesa, CA and can be reached out via phone at 949-548-2273.

Location: 2200 Harbor Blvd Ste B220, Costa Mesa, CA, 92626-6232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265951727
Provider Name
Keri Cavallo
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2200 Harbor Blvd Ste B220, Costa Mesa, CA, 92626-6232
Phone Number
949-548-2273
Fax Number
Provider Enumeration Date
09/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95006968 01 CA BRN
institution
Provider Business Practice Location Address Details
Address
2200 Harbor Blvd Ste B220
City
Costa Mesa
State
California
Zip
92627-5897
Phone Number
949-548-2273
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Harbor Blvd Ste B220
City
Costa Mesa
State
California
Zip
92627-5897
Phone Number
949-548-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95006968 (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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95006968 (California)
Definition
Definition to come...
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