Individual
LAURA FAE NYIRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPF
Contact information
Practice address
1454 E 2ND ST, SAN BERNARDINO, CA 92408-0118
(909) 382-7100
Mailing address
38431 ACORN WAY, YUCAIPA, CA 92399-9712
(909) 790-7607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP178424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP178424
NURSE PRACTIONER
CA
Enumeration date
03/07/2007
Last updated
07/08/2007
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