Doctor Name: | MISS BRIGITTE RENEE' CONDE |
NPI Number: | 1164563953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | CA388211 |
Business Practice Address: | 15031 Rinaldi St Mission Hills, CA - 913451207 |
Business Phone Number: | 8188984788 |
Business Fax Number: | |
Mailing Address: | 1203 W 159th St, GARDENA |
State: | CA |
Postal Code: | 902474321 |
Phone Number: | 3107671723 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | CA388211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |