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Nida Kichkla, NP
Psychiatric/Mental Health Nurse Practitioner in Glendora, California
NPI 1962063859

Nida Kichkla is a Psychiatric/Mental Health Nurse Practitioner based in Los Angeles, CA and is specialized in Psychiatric/Mental Health. Nida Kichkla practices in Glendora, CA and has the professional credentials of NP. The NPI Number for Nida Kichkla is 1962063859 and holds a License No. 95011993 (California).

The current practice location address for Nida Kichkla is 510 S Grand Ave Ste 200, Glendora, CA and can be reached out via phone at 626-914-1980.

Location: 510 S Grand Ave Ste 200, Glendora, CA, 90042-1512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962063859
Provider Name
Nida Kichkla
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
510 S Grand Ave Ste 200, Glendora, CA, 90042-1512
Phone Number
626-914-1980
Fax Number
Provider Enumeration Date
06/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
510 S Grand Ave Ste 200
City
Glendora
State
California
Zip
91741-4291
Phone Number
626-914-1980
Fax Number
person
Provider Business Mailing Address Details
Address
510 S Grand Ave Ste 200
City
Glendora
State
California
Zip
91741-4291
Phone Number
626-914-1980
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95011993 (California)
Definition
Definition to come...
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