Doctor Name: | MRS. LORI ANN CUTLER |
NPI Number: | 1336393776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 395898 |
Business Practice Address: | 3304 Renner Dr Fortuna, CA - 955407102 |
Business Phone Number: | 7077254477 |
Business Fax Number: | 7077259209 |
Mailing Address: | 670 9th St, Suite 203 ARCATA |
State: | CA |
Postal Code: | 955216248 |
Phone Number: | 7078268633 |
Fax Number: | 7078268638 |
NPI Enumeration Date: | 11/12/2008 |
NPI Last Update Date: | 12/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 395898 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |