Individual provider · Type 1 NPI
Laorence Wassom, NP-C
Nurse Practitioner · San Francisco, CA
Practice location
170 Columbus Ave Ste 110
San Francisco, CA 94133-5160
Fax (415) 965-7678
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other practice locations
- 2395 Lombard St, San Francisco, CA 94123-2601 · (415) 796-2242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95014763 (CA) |
| Nurse Practitioner Primary | 363L00000X | AP61085325 (WA) |
| Nurse Practitioner | 363L00000X | 95014763 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1578189262
Laorence Wassom, NP-C's National Provider Identifier is 1578189262, issued on Jun 18, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Francisco, CA. The record was last updated on Jan 20, 2026.