Individual
LAURA FARISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP,RN
Contact information
Practice address
743 PISMO ST, SAN LUIS OBISPO, CA 93401-3921
(805) 549-9446
Mailing address
518 GARDEN ST, SANTA BARBARA, CA 93101-1606
(805) 963-2445
(805) 965-6052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363387
—
CA
Enumeration date
07/27/2006
Last updated
07/08/2007
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