Healthcare Provider Details

I. General information

NPI: 1841220217
Provider Name (Legal Business Name): PATRICIA FRENCH WEDE R.N., GNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 LINDA AVE
PIEDMONT CA
94611-4815
US

IV. Provider business mailing address

6094 SLOPEVIEW CT
CASTRO VALLEY CA
94552-1646
US

V. Phone/Fax

Practice location:
  • Phone: 510-654-7172
  • Fax: 510-654-7156
Mailing address:
  • Phone: 510-538-3395
  • Fax: 510-583-1228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number200009
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: