Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 8880 | CT |
Y | 363L00000X | Nurse Practitioner | 95015958 | CA |
N | 363L00000X | Nurse Practitioner | R237998 | MD |
NPI | 1003461146 |
---|---|
Provider Name | Dr. Olivia Krampen |
First Address | San Diego, CA 92134-4514 |
Second Address | San Diego, CA 92134-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2019 |
Last Update Date | 09/09/2021 |