Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Ethridge, NP

Individual provider Pediatric Nurse Practitioner · NPI 1487979001

Kristen Ethridge, NP is a Pediatric Nurse Practitioner in Los Angeles, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10833 Le Conte Ave
Los Angeles, CA 90095-6062
Phone: (310) 825-9820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 — (323) 361-4148
  • 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 — (323) 361-4148

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 10455 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 342343 (CA)

Record details

NPI number1487979001
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 7, 2010
Last updated in NPPESMarch 17, 2018

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