Brustkern, Nicole Lorraine
Brustkern, Nicole Lorraine is an sole proprietor health care provider with primary practice located at 5726 La Jolla Blvd , La Jolla CA 92037-7344. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Brustkern, Nicole Lorraine can be contacted via phone (425) 269-2369.Contact Information
Primary practice address
5726 La Jolla Blvd
La Jolla CA 92037-7344
Phone: (425) 269-2369
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95018143 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95018143 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 95018143 | California |
Profile Details
| NPI number | 1023784881 |
|---|---|
| LBN Legal business name | Brustkern, Nicole Lorraine |
| Credentials | DNP, FNP-C, CPNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2021 |
| Last updated | Aug 20th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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