Individual
LEAH I FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
541A PRESIDIO BLVD, SAN FRANCISCO, CA 94129-1416
(310) 433-8859
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95015873
CA
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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