Healthcare Provider Details

I. General information

NPI: 1164237590
Provider Name (Legal Business Name): FEMCARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2445 SPRUCE ST
BAKERSFIELD CA
93301-2705
US

IV. Provider business mailing address

2445 SPRUCE ST
BAKERSFIELD CA
93301-2705
US

V. Phone/Fax

Practice location:
  • Phone: 657-333-5591
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARK A HEISLER
Title or Position: SECRETARY
Credential:
Phone: 661-333-5591