Individual
NANCY FIDUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2840 LONG BEACH BLVD STE 230, LONG BEACH, CA 90806-1575
(562) 595-1961
Mailing address
2840 LONG BEACH #230, LONG BEACH, CA 90806
(562) 595-1961
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
MF 0588345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPF 2420
FURNISHING NUMBER
CA
Enumeration date
03/27/2007
Last updated
07/08/2007
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