VICTORIA LLANES WOODEN


Address: 4459 Philbrook Sq, San Diego, CA 92130-8674
Phone: 8584815323

VICTORIA LLANES WOODEN (NPI# 1588718902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588718902
Entity Type Individual
Full Name VICTORIA LLANES WOODEN
Credential NURSE PRACTITIONER
Practice Address 4459 Philbrook Sq
San Diego
CA 92130-8674
Practice Telephone 8584815323
Practice Fax Number 8584811343
Mailing Telephone 8584815323
Mailing Fax Number 8584811343
Enumeration Date 2007-01-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
11506 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4459 PHILBROOK SQ
City SAN DIEGO
State CA
Zip Code 92130-8674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427173988 Victoria L. Wooden, Registered Nursing Inc. Nursing Facility/Intermediate Care Facility 4459 Philbrook Sq, San Diego, CA 92130-8674 2007-03-20

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City SAN DIEGO
Zip Code 92130

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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