Athena Jo Dahlin
Nurse Practitioner - Adult Health
34800 Bob Wilson Dr
San Diego
, California 92134-1098
Athena Jo Dahlin
Nurse Practitioner - Adult Health
34800 Bob Wilson Dr
San Diego
, California 92134-1098
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Athena Jo Dahlin
- 11469 Cascada Way
- San Diego, CA
- Zip : 92124-2880
- Phone :
Second Address
- Athena Jo Dahlin
- 34800 Bob Wilson Dr
- San Diego, CA
- Zip : 92134-1098
- Phone : (619) 532-6365
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Is Athena Jo Dahlin a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 753786 | CA |
National Provider Identifier
| NPI | 1003251547 |
|---|---|
| Provider Name | Athena Jo Dahlin |
| First Address | San Diego, CA 92124-2880 |
| Second Address | San Diego, CA 92134-1098 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2013 |
| Last Update Date | 09/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.