Individual
MS. FARIDEH LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
611 S MILPITAS BLVD, MILPITAS, CA 95035-5473
(408) 945-2773
Mailing address
2645 PERIDOT PL, SAN JOSE, CA 95132-2644
(408) 272-4552
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
543015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN543015
—
CA
Enumeration date
12/26/2006
Last updated
07/08/2007
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