Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Lucille Amelia Whitaker, 11434

Individual provider Family Nurse Practitioner · NPI 1467731430

MS. Lucille Amelia Whitaker, 11434 is a Family Nurse Practitioner in Pismo Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

575 Price St Ste 313
Pismo Beach, CA 93449-2553
Phone: (805) 201-9135
Fax: (805) 201-9134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 348574 (CA)

Record details

NPI number1467731430
Entity typeIndividual (Type 1)
GenderFemale
Credentials 11434
Sole proprietorYes
NPI enumeratedAugust 9, 2011
Last updated in NPPESAugust 9, 2011

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