Individual
KATHLEEN T NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
700 E NAPLES CT, CHULA VISTA, CA 91911-6821
(619) 482-6010
(619) 205-1906
Mailing address
700 E NAPLES CT, CHULA VISTA, CA 91911-6821
(619) 205-1480
(619) 205-1906
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN375983
CA
363L00000X
Nurse Practitioner
Primary
NP11591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WNP11591D
PTAN
CA
Enumeration date
11/21/2005
Last updated
06/04/2009
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