Provider Demographics
NPI:1720312051
Name:LUBRANO, NATASHA HICKS (NP)
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:HICKS
Last Name:LUBRANO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:230 PROSPECT PL STE 340B
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-1991
Mailing Address - Country:US
Mailing Address - Phone:619-522-4000
Mailing Address - Fax:619-435-0150
Practice Address - Street 1:230 PROSPECT PL
Practice Address - Street 2:340B
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-1978
Practice Address - Country:US
Practice Address - Phone:619-522-4000
Practice Address - Fax:619-435-0150
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19027363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily