Laura Kinkade
Nurse Practitioner - Acute Care
1441 Florida Ave
Modesto
, California 95350-4404
Laura Kinkade
Nurse Practitioner - Acute Care
1441 Florida Ave
Modesto
, California 95350-4404
(209) 576-3544
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Laura Kinkade
- 1441 Florida Ave
- Modesto, CA
- Zip : 95350-4404
- Fax : (209) 576-3544
- Phone : (209) 576-3525
Second Address
- Laura Kinkade
- 1441 Florida Ave
- Modesto, CA
- Zip : 95350-4404
- Fax : (209) 576-3544
- Phone : (209) 576-3525
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Is Laura Kinkade a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 95002933 | CA |
National Provider Identifier
| NPI | 1033586896 |
|---|---|
| Provider Name | Laura Kinkade |
| First Address | Modesto, CA 95350-4404 |
| Second Address | Modesto, CA 95350-4404 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2015 |
| Last Update Date | 27/08/2015 |
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.