MS. DEANNA LYNN KUDULIS NP
NPI 1285715052
Nurse Practitioner - Family in La Jolla, CA
About Ms. Deanna Lynn Kudulis Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DEANNA LYNN KUDULIS NP (NPI 1285715052) is an individual family provider in La Jolla, California, licensed in California (15849) and active in the NPI registry since October 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deanna Kudulis's NPI number?
The NPI number for Deanna Kudulis is 1285715052. It was assigned to this individual provider in the NPPES registry on October 18, 2006.
Where is Deanna Kudulis located?
Deanna Kudulis practices at 8831 Villa La Jolla Dr, La Jolla, CA 92037. The listed phone number is (858) 457-4480.
What is Deanna Kudulis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Deanna Kudulis was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Deanna Lynn Kudulis, NP · NPI 1285715052
Family physician in La Jolla, California. Individual provider, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1285715052 (Entity type: Individual)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 15849 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8831 VILLA LA JOLLA DR, La Jolla, CA 92037-1949
- **Phone:** (858) 457-4480
## Record status
- **NPPES last updated:** June 12, 2019
- **Other identifiers:** Medicaid 1285715052 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285715052) · Data from the CMS NPPES public registry.