Doctor Name: | MRS. NILDA FELISARTA KAMPITAN |
NPI Number: | 1477702991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 13649 |
Business Practice Address: | 6501 Garfield Ave Bell Gardens, CA - 902011805 |
Business Phone Number: | 5629289600 |
Business Fax Number: | |
Mailing Address: | 11500 Nimitz Ave, LOS ANGELES |
State: | CA |
Postal Code: | 900493566 |
Phone Number: | 4248328200 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2008 |
NPI Last Update Date: | 10/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 13649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |