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VICTORIA LLANES WOODEN NURSE PRACTITIONER NPI 1588718902


NPI Information

NPI: 1588718902
Provider Name: VICTORIA LLANES WOODEN, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
4459 PHILBROOK SQ
SAN DIEGO, CA
ZIP 92130
Phone: (858) 481-5323
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Victoria Llanes Wooden, NURSE PRACTITIONER is a gerontology nurse practitioner in San Diego, CA. Victoria Llanes Wooden, NURSE PRACTITIONER NPI is 1588718902. 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:

4459 PHILBROOK SQ
SAN DIEGO, CA
ZIP 92130-674
Phone: (858) 481-5323
Fax: (858) 481-1343

The NPI 1588718902 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 1/23/2007 and was last updated on 11/30/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontology11506CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.