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NEHA ATHALE F.N.P.

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1780018739

Individual Registrant:
 NEHA  ATHALE F.N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1224 10TH ST STE 200  CORONADO, CA 92118-3420 US
Tel: 619-435-2234  Fax: --

Contact information for business:
1224 10TH ST STE 200  CORONADO, CA 92118-3420 US
Tel: 619-435-2234  Fax: --

Registration Information:
NPI: 1780018739
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA23459
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
VA002417105

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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