1144840612 NPI number — KYRA CURRAN FNP-C

Table of content: KYRA CURRAN FNP-C (NPI 1144840612)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144840612 NPI number — KYRA CURRAN FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CURRAN
Provider First Name:
KYRA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144840612
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/24/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
414 E COTA ST FL 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA BARBARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93101-1624
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-617-7850
Provider Business Mailing Address Fax Number:
805-963-8880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
970 EMBARCADERO DEL MAR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ISLA VISTA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93117-4869
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-968-1511
Provider Business Practice Location Address Fax Number:
805-968-7041
Provider Enumeration Date:
04/24/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  95159571 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 95159571 . This is a "NURSE PRACTITIONER LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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