Individual
CHARISMA VAN SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 287-7526
(408) 971-6963
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3619
(408) 795-3619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
820982
CA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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