Provider Demographics
NPI:1346355989
Name:WITTENBERG, ALISON JENNIFER (APRN MSN)
Entity Type:Individual
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First Name:ALISON
Middle Name:JENNIFER
Last Name:WITTENBERG
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Gender:F
Credentials:APRN MSN
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Mailing Address - Street 1:RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER, ATTN.
Mailing Address - Street 2:7601 E. IMPERIAL HWY, TRAILER F-6
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242
Mailing Address - Country:US
Mailing Address - Phone:562-385-7161
Mailing Address - Fax:562-803-5623
Practice Address - Street 1:RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER, ATTN.
Practice Address - Street 2:7601 E. IMPERIAL HWY, TRAILER F-6
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242
Practice Address - Country:US
Practice Address - Phone:562-385-7161
Practice Address - Fax:562-803-5623
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2020-02-26
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Provider Licenses
StateLicense IDTaxonomies
CT001530363LP0200X
CTE57646363LP0808X
CA9353363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health