MISS MARA DEVIN KILLEN DNP WHNP NPI 1518277714

NPI Information

NPI: 1518277714
Provider Name: MISS MARA DEVIN KILLEN, DNP, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
9850 GENESEE AVE
SUITE 640
LA JOLLA, CA
ZIP 92037
Phone: (858) 677-0777
Get Directions

MISS Mara Devin Killen, DNP, WHNP is a women's health nurse practitioner in La Jolla, CA with 14 years of experience. MISS Mara Devin Killen, DNP, WHNP NPI is 1518277714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9850 GENESEE AVE
SUITE 640
LA JOLLA, CA
ZIP 92037-224
Phone: (858) 677-0777
Fax: (858) 677-0666

The NPI 1518277714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 4/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	SP010953	PENNSYLVANIA	No
2	363LW0102X	Nurse Practitioner	Women's Health	NP95004277	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	264293	MEDICARE PIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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