Lea Linette Huetteman, RN,PHN

Individual provider Active NPI Registered Nurse · Alturas, CA

NPI 1982801692 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1982801692
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN200410 (CA)
Practice address
441 N Main St
Alturas, CA 96101-3457
Phone
(530) 233-6312
Fax
(530) 233-5311
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
PHN45504CAMDRegistered Nurse
RN200410CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN200410 CA Yes
Registered Nurse 163W00000X PHN45504 CA

Addresses

Primary practice location

441 N Main St
Alturas, CA 96101-3457

Mailing address

441 N Main St
Alturas, CA 96101-3457
Phone (530) 233-6312

Other providers in Alturas, CA

All providers in Alturas, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.