Individual
MS. PRIYA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 280-4213
Mailing address
3941 SHIRLENE PL, LA MESA, CA 91941-7431
(512) 703-7624
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
95198942
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020387
CA
363LP2300X
Primary Care Nurse Practitioner
95020387
CA
Other
Enumeration date
09/06/2019
Last updated
10/20/2025
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