Individual
ALICE HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
4155 MOORPARK AVE STE 3, SAN JOSE, CA 95117-1714
(408) 217-1905
Mailing address
4155 MOORPARK AVE STE 3, SAN JOSE, CA 95117-1714
(408) 217-1905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
786137
CA
363L00000X
Nurse Practitioner
95002136
CA
363LF0000X
Family Nurse Practitioner
Primary
95002136
CA
Other
Enumeration date
12/16/2014
Last updated
03/17/2018
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