Individual
SHARON ATIENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, MAIL STOP #118, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
3350 LA JOLLA VILLAGE DR # 111, SAN DIEGO, CA 92161-0002
(858) 552-8585
(858) 642-6242
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
23210
CA
363LG0600X
Gerontology Nurse Practitioner
23210
CA
364S00000X
Clinical Nurse Specialist
4003
CA
Other
Enumeration date
09/17/2013
Last updated
08/15/2022
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