Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 95013142 | CA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5009917 | NC |
NPI | 1134632110 |
---|---|
Provider Name | Kaitlyn Warren Cline |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2017 |
Last Update Date | 13/12/2019 |