Individual
KAYLEIGH PROWSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2918 FIFTH AVE STE 300, SAN DIEGO, CA 92103-5910
(619) 255-2101
Mailing address
1601 DOVE ST STE 275, NEWPORT BEACH, CA 92660-1431
(949) 851-3086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP22923
CA
Other
Enumeration date
02/28/2020
Last updated
10/05/2022
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