FASTRACKMED URGENT CARE INC NPI 1215785589

NPI Information

NPI: 1215785589
Provider Name: FASTRACKMED URGENT CARE INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
108 GREEN VALLEY RD
FREEDOM, CA
ZIP 95019
Phone: (831) 259-1726
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FASTRACKMED URGENT CARE INC is a family nurse practitioner in Freedom, CA. FASTRACKMED URGENT CARE INC NPI is 1215785589. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

108 GREEN VALLEY RD
FREEDOM, CA
ZIP 95019-110
Phone: (831) 259-1726
Fax: (855) 855-4022

The provider's authorized official is Lioudmila Tarbox .
The authorized official title is Owner and has the following contact phone number (831) 295-1726.

The enumeration date for this NPI number is 5/10/2024 and was last updated on 5/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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