Commerina Theodora Mcconnin
Nurse Practitioner - Neonatal (Critical Care)
3010 Childrens Way
San Diego
, California 92123-4223
Commerina Theodora Mcconnin
Nurse Practitioner - Neonatal (Critical Care)
3010 Childrens Way
San Diego
, California 92123-4223
(858) 966-5818
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Commerina Theodora Mcconnin
- 3020 Childrens Way # Mc5008
- San Diego, CA
- Zip : 92123-4223
- Phone : (858) 966-5818
Second Address
- Commerina Theodora Mcconnin
- 3010 Childrens Way
- San Diego, CA
- Zip : 92123-4223
- Phone : (858) 966-5818
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | NP7195 | CA |
National Provider Identifier
| NPI | 1154653459 |
|---|---|
| Provider Name | Commerina Theodora Mcconnin |
| First Address | San Diego, CA 92123-4223 |
| Second Address | San Diego, CA 92123-4223 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/02/2010 |
| Last Update Date | 01/06/2021 |
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.