Leticia L Burdumy in Pismo Beach - Diabetes Educator
Leticia L Burdumy - NPI 1306022132
Leticia L Burdumy is a Diabetes Educator in Pismo Beach, California. Leticia L Burdumy practices all healthcare services and medical treatments related to Diabetes Educator. The NPI Number for Leticia L Burdumy is 1306022132. The last update date is 2008-01-10.
Leticia L Burdumy's current location address is 791 Price St # 192, Pismo Beach, California. You can contact this provider via phone number 8057734818. The mailing address for Leticia L Burdumy is 791 Price St # 192, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leticia L Burdumy |
|---|---|
| Address | 791 Price St # 192, Pismo Beach, California |
| Phone Number | 8057734818 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | R..N |
NPI Number Detail
| NPI Number | 1306022132 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2008-01-10 |
Provider Mailing Address Detail
| Address | 791 Price St # 192 |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934492529 |
| Phone Number | 8057734818 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diabetes Educator |
|---|---|
| Taxonomy | 163Wd0400X |
| Licence No | 318745 |
|
Definition: A registered nurse who teaches diabetes self-management skills. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 318745 | CA | R.N. LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Leticia L Burdumy by the Centers for Medicare & Medicaid Services?
The Leticia L Burdumy has been issued the NPI (National Provider Identifier) 1306022132. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Leticia L Burdumy is physically located?
The Leticia L Burdumy is situated at the following address: 791 Price St # 192, Pismo Beach, CA 934492529.
What is the Leticia L Burdumy's specialty and taxonomy code?
The Leticia L Burdumy's specialty is Diabetes Educator, and the corresponding taxonomy code is 163Wd0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306022132 to Leticia L Burdumy?
The Centers for Medicare & Medicaid Services originally issued the 1306022132 to Leticia L Burdumy on 2008-01-10.
As of what date were the Leticia L Burdumy's details last updated?
The information pertaining to the Leticia L Burdumy, including its address, specialty, and other details, was most recently updated on 2008-01-10.