Individual provider · Type 1 NPI
Negin Fazilat, NP
Primary Care Nurse Practitioner · San Francisco, CA
NPI number
1295203107
Active
Practice location
1001 Potrero Ave
San Francisco, CA 94110-3518
Mailing address
1245 Portland Ave
Los Altos, CA 94024-5520
Other practice locations
- 1245 Portland Avenue, Los Altos, CA 94024 · (650) 557-8252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95009886 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1295203107
Negin Fazilat, NP's National Provider Identifier is 1295203107, issued on Nov 8, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in San Francisco, CA. The record was last updated on Jan 1, 2019.