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Corrine Lee Douglas, NP
Critical Care Pediatric Nurse Practitioner in Santa Cruz, California
NPI 1720481526

Corrine Lee Douglas is a Critical Care Pediatric Nurse Practitioner based in Santa Cruz, CA and is specialized in Pediatrics, Critical Care. Corrine Lee Douglas practices in Santa Cruz, CA and has the professional credentials of NP. The NPI Number for Corrine Lee Douglas is 1720481526 and holds a License No. NP95001430 (California).

The current practice location address for Corrine Lee Douglas is 1510 Capitola Rd, Santa Cruz, CA and can be reached out via phone at 831-427-3500.

Location: 1510 Capitola Rd, Santa Cruz, CA, 95061-0542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720481526
Provider Name
Corrine Lee Douglas
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1510 Capitola Rd, Santa Cruz, CA, 95061-0542
Phone Number
831-427-3500
Fax Number
Provider Enumeration Date
10/07/2014
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
1510 Capitola Rd
City
Santa Cruz
State
California
Zip
95062-2912
Phone Number
831-427-3500
Fax Number
person
Provider Business Mailing Address Details
Address
1510 Capitola Rd
City
Santa Cruz
State
California
Zip
95062-2912
Phone Number
831-427-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
363LP0222X
License No.
NP95001430 (California)
Definition
Definition to come...
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