DR. NICOLE LORRAINE BRUSTKERN DNP FNP-C CPNP NPI 1023784881

NPI Information

  • NPI: 1023784881
  • Provider Name: DR. NICOLE LORRAINE BRUSTKERN, DNP, FNP-C, CPNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 5726 LA JOLLA BLVD
    LA JOLLA, CA
    ZIP 92037
  • Phone: (425) 269-2369

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NPI Details

DR. Nicole Lorraine Brustkern, DNP, FNP-C, CPNP is a primary care nurse practitioner in La Jolla, CA. DR. Nicole Lorraine Brustkern, DNP, FNP-C, CPNP NPI is 1023784881. 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:

5726 LA JOLLA BLVD
LA JOLLA, CA
ZIP 92037-344
Phone: (425) 269-2369

The enumeration date for this NPI number is 8/20/2021 and was last updated on 8/20/2021.

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
1363LF0000XNurse PractitionerFamily95018143CALIFORNIANo
2363LP0200XNurse PractitionerPediatrics95018143CALIFORNIANo
3363LP2300XNurse PractitionerPrimary Care95018143CALIFORNIAYes

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: 3/30/2025

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