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NPI Code Detail

MEDICARE: FAREEHA SIPRA NURSE PRACTIONER

MEDICARE: FAREEHA SIPRA NURSE PRACTIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner95013049CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487297107
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAREEHA SIPRA NURSE PRACTIONER
Provider Business Mailing Address
First Line : 1225 M ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1805
Country : US
Telephone Number : 559-600-9360
Fax Number :
Provider Business Practice Location Address
First Line : 2029 CENTURY PARK E STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2905
Country : US
Telephone Number : 559-259-2478
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2019
Last Update Date : 05/31/2024

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Directions to “ FAREEHA SIPRA NURSE PRACTIONER” Practice Location

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