person
Ms. Lucille Amelia Whitaker, 11434
Family Nurse Practitioner in Pismo Beach, California
NPI 1467731430

Lucille Amelia Whitaker is a Family Nurse Practitioner based in Pismo Beach, CA and is specialized in Family. Lucille Amelia Whitaker practices in Pismo Beach, CA and has the professional credentials of 11434. The NPI Number for Lucille Amelia Whitaker is 1467731430 and holds a License No. 348574 (California).

The current practice location address for Lucille Amelia Whitaker is 575 Price St, Pismo Beach, CA and can be reached out via phone at 805-201-9135 and via fax at 805-201-9134.

Location: 575 Price St, Pismo Beach, CA, 93449-2553
person
Provider Profile Details
NPI Number
1467731430
Provider Name
Lucille Amelia Whitaker
Credential
11434
Provider Entity Type
Individual
Gender
Female
Address
575 Price St, Pismo Beach, CA, 93449-2553
Phone Number
805-201-9135
Fax Number
805-201-9134
Provider Enumeration Date
08/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
575 Price St
City
State
Zip
93449-2553
Phone Number
805-201-9135
Fax Number
805-201-9134
person
Provider Business Mailing Address Details
Address
575 Price St
City
State
Zip
93449-2553
Phone Number
805-201-9135
Fax Number
805-201-9134
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
348574 (California)
Definition
Definition to come...
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