person
Larae Suzanne Mccardell, FNP-C
Family Nurse Practitioner in South San Francisco, California
NPI 1811221070

Larae Suzanne Mccardell is a Family Nurse Practitioner based in Casper, CA and is specialized in Family. Larae Suzanne Mccardell practices in South San Francisco, CA and has the professional credentials of FNP-C. The NPI Number for Larae Suzanne Mccardell is 1811221070 and holds a License No. 22146-1023 (California).

The current practice location address for Larae Suzanne Mccardell is 395 Oyster Point Blvd Ste 512, South San Francisco, CA and can be reached out via phone at 650-826-2945.

Location: 395 Oyster Point Blvd Ste 512, South San Francisco, CA, 82605-6912
person
Provider Profile Details
NPI Number
1811221070
Provider Name
Larae Suzanne Mccardell
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
395 Oyster Point Blvd Ste 512, South San Francisco, CA, 82605-6912
Phone Number
650-826-2945
Fax Number
Provider Enumeration Date
09/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116LH09 01 WY WYOMING CONTROLLED SUBSTANCE REGISTRATION
W23006 01 WY MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
395 Oyster Point Blvd Ste 512
City
State
Zip
94080-1973
Phone Number
650-826-2945
Fax Number
person
Provider Business Mailing Address Details
Address
395 Oyster Point Blvd Ste 512
City
State
Zip
94080-1973
Phone Number
650-826-2945
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
22146-1023 (Wyoming)
Definition
Definition to come...
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