THEODORA GORE NURSE PRACTIONER NPI 1689897902

NPI Information

NPI: 1689897902
Provider Name: THEODORA GORE, NURSE PRACTIONER
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
4650 W SUNSET BLVD # 53
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-7730
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Theodora Gore, NURSE PRACTIONER is a psychiatric/mental health registered nurse in Los Angeles, CA. Theodora Gore, NURSE PRACTIONER NPI is 1689897902. 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:

4650 W SUNSET BLVD # 53
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-7730

The enumeration date for this NPI number is 4/11/2007 and was last updated on 10/11/2017.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN522355	CALIFORNIA	Yes
2	363LW0102X	Nurse Practitioner	Women's Health	RN522355	CALIFORNIA	No

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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