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General NPI Number Information
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NPI Number | 1811902661
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Entity Type | Individual
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Provider Name | KATHLEEN MARIE DRENNAN BSN, MSN, APRN-C
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Gender | Female
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 2067 W VISTA WAY
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City | VISTA
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State | CA
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Zip | 92083-6031
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Country | US
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Telephone | 606-302-5507
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Fax | 760-726-2305
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Provider Business Mailing Address
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Address Line | 4409 MAPLE DR
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City | OCEANSIDE
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State | CA
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Zip | 92056-3535
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Country | US
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Telephone | 760-295-6739
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP16350
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 16350
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License Number State | CA
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