Individual provider · Type 1 NPI
Lara Elaine Avengoza Saberon, MSN, FNP-C
Family Nurse Practitioner · Berkeley, CA
NPI number
1508378563
Active
Practice location
2222 Bancroft Way
Berkeley, CA 94720-4301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 342276 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 95018183 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508378563
Lara Elaine Avengoza Saberon, MSN, FNP-C's National Provider Identifier is 1508378563, issued on Oct 31, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Berkeley, CA. The record was last updated on Dec 16, 2021.