Kraetzer, Jacqueline L.

Kraetzer, Jacqueline L. is an sole proprietor health care provider with primary practice located at 625 Montana Ave Ste E , Santa Monica CA 90403-1464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Kraetzer, Jacqueline L. can be contacted via phone (323) 229-0292.

Contact Information

Primary practice address
625 Montana Ave Ste E Santa Monica CA 90403-1464
Phone: (323) 229-0292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95009771 California

Profile Details

NPI number 1811462088
LBN Legal business name Kraetzer, Jacqueline L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2018
Last updated Mar 10th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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