Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NI KETUT SUPIYATI
Active Sole ProprietorNI KETUT SUPIYATI is a Nurse Practitioner healthcare provider located in HUNTINGTON PARK, California. NPI 1023497443 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · HUNTINGTON PARK, CA
Registration Details
- NPI Number
- 1023497443
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2015 (11.215957658824 yrs)
- Last Updated
- May 19, 2015
- License
-
NP95001498 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2638 E FLORENCE AVEHUNTINGTON PARK, CA, 902554708Browse CA providers · Browse ZIP 90255
- Phone
- 3235814665
- Fax
- 3235810551
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in HUNTINGTON PARK, CA
| Name | Credential | NPI |
|---|---|---|
| MS. GLENDA MULET BURGOS | FNP | 1306886684 |
| MRS. CARMEN EDITH BRITO | N.P. | 1427160886 |
| SHARI LAVERNE MCNAIR | NP | 1700988631 |
| KATHLEEN AHN | NP | 1891083804 |
| MRS. SONYA AMBRIZ | — | 1336717487 |
| AMERICA OBEZO | NP-C | 1538832837 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.