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OrganizationMedicare enrolled

Prairie Clinic Inc

Nurse Practitioner · San Diego, CA

Source: NPPES NPI RegistryFetched 2026-10-20

Public record

NPI
1000001495
Enumeration date
2025-08-29
Last updated
2025-11-05
Practice location
1099 Medical Pkwy
San Diego, CA 92101
Taxonomies
Website
Not listed
Medicare
Enrolled