Individual
ANDREA PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
822 S M ST, LIVERMORE, CA 94550-4409
(925) 922-0299
Mailing address
822 S M ST, LIVERMORE, CA 94550-4409
(925) 922-0299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22243
CA
363LP0200X
Pediatric Nurse Practitioner
22243
CA
Other
Enumeration date
01/17/2013
Last updated
11/17/2016
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