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Mr. Clifford Leo Faubert
Acute Care Nurse Practitioner in Roseville, California
NPI 1215407051

Clifford Leo Faubert is an Acute Care Nurse Practitioner based in Roseville, CA and is specialized in Acute Care. Clifford Leo Faubert practices in Roseville, CA. The NPI Number for Clifford Leo Faubert is 1215407051 and holds a License No. 95010522 (California).

The current practice location address for Clifford Leo Faubert is 1937 Ellesmere Loop, Roseville, CA and can be reached out via phone at 916-586-0075.

Location: 1937 Ellesmere Loop, Roseville, CA, 95747-5085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215407051
Provider Name
Clifford Leo Faubert
Credential
Provider Entity Type
Individual
Gender
Male
Address
1937 Ellesmere Loop, Roseville, CA, 95747-5085
Phone Number
916-586-0075
Fax Number
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1937 Ellesmere Loop
City
Roseville
State
California
Zip
95747-5085
Phone Number
916-586-0075
Fax Number
person
Provider Business Mailing Address Details
Address
1937 Ellesmere Loop
City
Roseville
State
California
Zip
95747-5085
Phone Number
916-586-0075
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
95010522 (California)
Definition
Definition to come...
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