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Charlotte Nordstrom
Family Nurse Practitioner in Tustin, California
NPI 1558807107

Charlotte Nordstrom is a Family Nurse Practitioner based in Tustin, CA and is specialized in Family. Charlotte Nordstrom practices in Tustin, CA. The NPI Number for Charlotte Nordstrom is 1558807107 and holds a License No. 9500534 (California).

The current practice location address for Charlotte Nordstrom is 661 W 1St St Ste G, Tustin, CA and can be reached out via phone at 714-665-9890 and via fax at 714-665-9891.

Location: 661 W 1St St Ste G, Tustin, CA, 92780-2939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558807107
Provider Name
Charlotte Nordstrom
Credential
Provider Entity Type
Individual
Gender
Female
Address
661 W 1St St Ste G, Tustin, CA, 92780-2939
Phone Number
714-665-9890
Fax Number
714-665-9891
Provider Enumeration Date
01/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95005354 01 CA BOARD OF REGISTERED NURSING
institution
Provider Business Practice Location Address Details
Address
661 W 1St St Ste G
City
Tustin
State
California
Zip
92780-2939
Phone Number
714-665-9890
Fax Number
714-665-9891
person
Provider Business Mailing Address Details
Address
661 W 1St St Ste G
City
Tustin
State
California
Zip
92780-2939
Phone Number
714-665-9890
Fax Number
714-665-9891
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9500534 (California)
Definition
Definition to come...
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