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Individual

KAITLIN REISS ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CPNP

Contact information

Practice address
7700 MORRO RD, ATASCADERO, CA 93422-4435
(805) 466-6622
(805) 461-0361
Mailing address
7700 MORRO RD, ATASCADERO, CA 93422-4435
(805) 466-6622

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225342
SC
363LP0200X
Pediatric Nurse Practitioner
21374
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
95012201
CA

Other

Enumeration date
10/30/2014
Last updated
03/18/2021
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