Individual provider · Type 1 NPI

Lea Shangraw Fox, FNP-BC

Pediatric Nurse Practitioner · Oakland, CA

NPI number 1043873557 Active

Practice location

747 52nd St
Oakland, CA 94609-1809

Fax (510) 597-7148

Mailing address

3254 Fairview Ave
Alameda, CA 94501-1704

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician 2080P0207X95011513 (CA)
Pediatric Nurse Practitioner Primary 363LP0200X95011513 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1043873557

Lea Shangraw Fox, FNP-BC's National Provider Identifier is 1043873557, issued on Apr 19, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oakland, CA. The record was last updated on Jun 21, 2019.