Healthcare Provider Details

I. General information

NPI: 1881168714
Provider Name (Legal Business Name): CLAUDIA AWAMLEH FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 3RD ST STE A
SAN RAFAEL CA
94901-3113
US

IV. Provider business mailing address

25900 VIA CARMELITA
CARMEL CA
93923-8311
US

V. Phone/Fax

Practice location:
  • Phone: 415-448-1500
  • Fax:
Mailing address:
  • Phone: 831-277-8589
  • Fax: 530-678-2453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95010847
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: