Individual
FAREEHA SIPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
2029 CENTURY PARK E STE 400, LOS ANGELES, CA 90067-2905
(559) 259-2478
Mailing address
1225 M ST, FRESNO, CA 93721-1805
(559) 600-9360
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95013049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95013049
—
CA
Enumeration date
10/25/2019
Last updated
05/31/2024
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