Healthcare Provider Details

I. General information

NPI: 1548877145
Provider Name (Legal Business Name): KARIDA PIEGER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 YGNACIO VALLEY RD STE T
WALNUT CREEK CA
94598-3343
US

IV. Provider business mailing address

14502 W MEEKER BLVD
SUN CITY WEST AZ
85375-5282
US

V. Phone/Fax

Practice location:
  • Phone: 925-954-8209
  • Fax: 925-891-4292
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number309502
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: