Individual
CHRISTINE CLICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
184 CASA ST, SAN LUIS OBISPO, CA 93405-1804
(805) 544-4883
(805) 542-0827
Mailing address
184 CASA ST, SAN LUIS OBISPO, CA 93405-1804
(805) 544-4883
(805) 542-0827
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
258176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258176
MEDICAL LICENSE #
CA
Enumeration date
04/11/2007
Last updated
09/26/2011
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