Mccardell, Larae Suzanne

Mccardell, Larae Suzanne is an individual health care provider with primary practice located at 395 Oyster Point Blvd Ste 512 , South San Francisco CA 94080-1973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccardell, Larae Suzanne can be contacted via phone (650) 826-2945.

Contact Information

Primary practice address
395 Oyster Point Blvd Ste 512 South San Francisco CA 94080-1973
Phone: (650) 826-2945
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22146-1023 Wyoming

Profile Details

NPI number 1811221070
LBN Legal business name Mccardell, Larae Suzanne
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2009
Last updated Mar 13th, 2023 - about last year

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 1811221070 NPPES
Wyoming Other 116LH09 WYOMING CONTROLLED SUBSTANCE REGISTRATION
Wyoming Other W23006 WYOMING CONTROLLED SUBSTANCE REGISTRATION

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