What is Commerina Mcconnin's NPI number?

The NPI number assigned to this healthcare provider is 1154653459, enumerated as a individual on February 11, 2010.

Where is the provider located?

The provider is located at 3010 CHILDRENS WAY SAN DIEGO, CA 92123 and the phone number is (858) 966-5818.

What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LN0005X and a focus in Neonatal, Critical Care.

COMMERINA THEODORA MCCONNIN NNP - NPI 1154653459 - Nurse Practitioner in San Diego, CA

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About Commerina Theodora Mcconnin Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMERINA THEODORA MCCONNIN NNP (NPI 1154653459) is an individual neonatal, critical care provider in San Diego, California, licensed in California (NP7195) and active in the NPI registry since February 2010. She maintains a secondary practice location in Escondido.

NPPES Registry Identity

NPI1154653459

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameCOMMERINA THEODORA MCCONNINCredential: NNP

Location Address3010 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3020 Childrens Way # Mc5008San Diego, CA 92123-4223 · (858) 966-5818

Phone(858) 966-5818

Sole ProprietorNo

Enumeration DateFebruary 11, 2010

Last NPPES UpdateJune 1, 2021

NPPES CertifiedJune 1, 2021

✔ NPI 1154653459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

License✔ Licensed in CA · NP7195

3010 CHILDRENS WAY, San Diego, CA 92123

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Secondary Practice Location 1

Location 12185 Citracado PkwyEscondido, CA 92029-4159 · Phone (442) 282-3193

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH ELLEN SCHIFF M.D.