Kristen Tautua, FNP | |
41880 Kalmia St Ste 100, Murrieta, CA 92562-8835 | |
(951) 696-7597 | |
Not Available |
Full Name | Kristen Tautua |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 41880 Kalmia St Ste 100, Murrieta, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184362675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP95020454 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Kristen Tautua, FNP 29676 Glenneyre Way, Menifee, CA 92584-6423 Ph: (562) 331-2205 | Kristen Tautua, FNP 41880 Kalmia St Ste 100, Murrieta, CA 92562-8835 Ph: (951) 696-7597 |
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