Provider Demographics
NPI:1598027450
Name:RELLA, KARLA ANNE (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:ANNE
Last Name:RELLA
Suffix:
Gender:F
Credentials:CPNP
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Mailing Address - Street 1:3880 MURPHY CANYON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4411
Mailing Address - Country:US
Mailing Address - Phone:858-502-1169
Mailing Address - Fax:858-636-4319
Practice Address - Street 1:250 E CHASE AVE STE 108
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-6305
Practice Address - Country:US
Practice Address - Phone:619-442-2560
Practice Address - Fax:619-442-7836
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2021-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CORN.1623292364SP0200X
MECNP151069363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics