Fariss, Laura
Fariss, Laura is an individual health care provider with primary practice located at 743 Pismo St , San Luis Obispo CA 93401-3921. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fariss, Laura can be contacted via phone (805) 549-9446.Contact Information
Primary practice address
743 Pismo St
San Luis Obispo CA 93401-3921
Phone: (805) 549-9446
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 363387 | California |
Profile Details
NPI number | 1922012053 |
---|---|
LBN Legal business name | Fariss, Laura |
Credentials | NP,RN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922012053 | NPPES |
California | MEDICAID | 363387 |
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