Individual
ELIZABETH FUDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 CONNECTICUT AVE NW STE 1250, WASHINGTON, DC 20036-1728
(202) 627-1901
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5018927
NC
363LF0000X
Family Nurse Practitioner
Primary
RN1036926
DC
Other
Enumeration date
04/06/2015
Last updated
01/11/2024
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