Kudulis, Deanna Lynn
Kudulis, Deanna Lynn is an individual health care provider with primary practice located at 8831 Villa La Jolla Dr , La Jolla CA 92037-1949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kudulis, Deanna Lynn can be contacted via phone (858) 457-4480.Contact Information
Primary practice address
8831 Villa La Jolla Dr
La Jolla CA 92037-1949
Phone: (858) 457-4480
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 15849 | California |
Profile Details
NPI number | 1285715052 |
---|---|
LBN Legal business name | Kudulis, Deanna Lynn |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2006 |
Last updated | Jun 12th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285715052 | NPPES |
California | MEDICAID | 1285715052 |
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