Individual
MRS. KRISTINE ERICKSEN-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4321 BIRCH ST STE 100, NEWPORT BEACH, CA 92660-1940
(310) 245-6503
Mailing address
11921 CARMEL CREEK RD APT 129, SAN DIEGO, CA 92130-2585
(310) 245-6503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95004881
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95004881
CA
Other
Enumeration date
08/30/2016
Last updated
10/16/2018
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