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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922012053 NPPES
California MEDICAID 363387

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