Individual
COURTNEY CHEDIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
(619) 320-2404
(619) 822-1228
Mailing address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
(619) 320-2404
(619) 822-1228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95337796
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
154748
KS
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95337796
CA
Other
Enumeration date
09/18/2023
Last updated
04/27/2026
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