Individual provider · Type 1 NPI
Cory Fung, FNP-C
Family Nurse Practitioner · San Jose, CA
NPI number
1730821141
Active
Practice location
1333 Meridian Ave
San Jose, CA 95125-5212
Mailing address
4208 Rickeys Way Unit K
Palo Alto, CA 94306-5912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95019734 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1730821141
Cory Fung, FNP-C's National Provider Identifier is 1730821141, issued on Apr 7, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Jose, CA. The record was last updated on Apr 7, 2022.