Individual provider · Type 1 NPI

Laura Wahpepah, NP

Pediatric Nurse Practitioner · San Rafael, CA

NPI number 1912146382 Active

Practice location

750 Las Gallinas Ave, #210
San Rafael, CA 94903-3438

Mailing address

10470 Old Placerville Rd, #100
Sacramento, CA 95827-2539

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X12723 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1912146382

Laura Wahpepah, NP's National Provider Identifier is 1912146382, issued on Feb 9, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Rafael, CA. The record was last updated on Feb 9, 2009.