Individual
MS. JOANNE FASCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
333 1ST ST STE A, SAN FRANCISCO, CA 94105-2661
(888) 803-3370
Mailing address
1655 S WESTERN AVE, LOS ANGELES, CA 90006-5801
(323) 737-5200
(323) 737-5400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004874
CA
363LF0000X
Family Nurse Practitioner
95004874
CA
363LP2300X
Primary Care Nurse Practitioner
95004874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95004874
—
CA
Enumeration date
02/07/2017
Last updated
12/10/2024
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