A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pediatrics | 208000000X |
| Pediatrics | 363LP0200X |
* Indicates primary specialty
| NPI Number | 1114494002 |
| Credentials | RN, CPNP-PC |
| Entity | Individual |
| Enumeration date | 10/29/2018 |
| Last updated | 09/19/2025 - About 9 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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