Individual provider · Type 1 NPI
Igor M. Bederov, NURSE PRACTITIONER
Family Nurse Practitioner · Foster City, CA
NPI number
1659301000
Active
Practice location
262 Bonita Ln
Foster City, CA 94404-1982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN586047 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | NP21555 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659301000
Igor M. Bederov, NURSE PRACTITIONER's National Provider Identifier is 1659301000, issued on Jul 3, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Foster City, CA. The record was last updated on Sep 5, 2013.