Individual
WHITNEY WARDLAW BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3020 CHILDRENS WAY, MC 5008, SAN DIEGO, CA 92123-4223
(858) 966-5818
(858) 966-7483
Mailing address
3020 CHILDRENS WAY, MC 5008, SAN DIEGO, CA 92123-4223
(858) 966-5818
(858) 966-7483
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
95071812
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
95003123
CA
364SN0000X
Neonatal Clinical Nurse Specialist
4371
CA
Other
Enumeration date
09/28/2015
Last updated
11/29/2021
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