Katelyn Amanda Stults, NP
Nurse Practitioner, Family in Los Alamitos, CA. Individual provider (NPI-1).
NPI number1144827072
StatusActive
Last updated in NPPESMay 4, 2024
Details
- NPI
- 1144827072
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Amanda Stults
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2020
- Certification date
- May 4, 2024
- Last updated
- May 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95027104 | CA | Yes |
Practice location
3742 Katella Ave Ste 302Los Alamitos, CA 90720-3172
Phone 562-702-3825 · Fax 323-302-4581
Mailing address
18316 Taylor CtTorrance, CA 90504-5450
Phone 610-513-8182
Other practice locations
3742 Katella Ave Ste 302
Los Alamitos, CA 90720-3172
Los Alamitos, CA 90720-3172
Phone 562-936-0292 · Fax 562-936-1943
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