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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WISAL FARE, PA-C

Active

WISAL FARE, PA-C is a Adult Health Clinical Nurse Specialist healthcare provider located in SAN LEANDRO, California. NPI 1578525598 is currently active in the NPPES registry. Verify at CMS.

Adult Health Clinical Nurse Specialist · SAN LEANDRO, CA

Registration Details

NPI Number
1578525598
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2006 (20.40690720463 yrs)
Last Updated
Sep 23, 2014
License
PA13725 (CA)

Practice Information

Address
13851 E 14TH ST
STE 305
SAN LEANDRO, CA, 945782631
Browse CA providers · Browse ZIP 94578
Phone
5103511193
Fax
5103516456
Primary Specialty
Adult Health Clinical Nurse Specialist
364SA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.