Doctor Name: | RANI A KOKATNUR |
NPI Number: | 1174629984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 9645 |
Business Practice Address: | 217 West Central Avenue Suite G Lompoc, CA - 934362830 |
Business Phone Number: | 8057354292 |
Business Fax Number: | 8057354293 |
Mailing Address: | 117 West Bunny Avenue, SANTA MARIA |
State: | CA |
Postal Code: | 934582805 |
Phone Number: | 8057354292 |
Fax Number: | 8057354293 |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 12/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 9645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |