Individual
KRISTINA NELSON DILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, FNP, ADM
Contact information
Practice address
35 CASA ST, SUITE 130, SAN LUIS OBISPO, CA 93405-1818
(805) 541-1422
(805) 595-1815
Mailing address
35 CASA ST, SUITE 130, SAN LUIS OBISPO, CA 93405-1818
(805) 541-1422
(805) 595-1815
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
2051-0093
CA
363L00000X
Nurse Practitioner
Primary
336369
CA
363LF0000X
Family Nurse Practitioner
0350311-22
CA
Other
Enumeration date
07/15/2005
Last updated
05/02/2017
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