Ni Ketut Supiyati is a Huntington Park, California based nurse practitioner. Active license number of Ni Ketut Supiyati is NP95001498 in California. Her current practice location is 2638 E Florence Ave, Huntington Park. Patients can reach her at 323-581-4665 or can fax her at 323-581-0551 and her NPI number (Unique professional ID assigned by NPPES) is 1023497443. Ni Ketut Supiyati has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ni Ketut Supiyati speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ni Ketut Supiyati
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Practice Address:
2638 E Florence Ave, Huntington Park, California, 90255-4708
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1023497443
NPI Enumeration Date:
19 May, 2015
NPI Last Update On:
19 May, 2015
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ni Ketut Supiyati are as mentioned below.
License Number
Specialization
State
Status
NP95001498
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ni Ketut Supiyati such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
95001498
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ni Ketut Supiyati 2638 E Florence Ave, Huntington Park, California
Zip:
90255-4708
Phone Number:
323-581-4665
Fax Number:
323-581-0551
Patients can reach Ni Ketut Supiyati at 2638 E Florence Ave, Huntington Park, California or can call to book an appointment on 323-581-4665.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.