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

IGOR M BEDEROV, NURSE PRACTITIONER

Active Sole Proprietor

IGOR M BEDEROV, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in FOSTER CITY, California. NPI 1659301000 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FOSTER CITY, CA

Registration Details

NPI Number
1659301000
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2006 (19.932357952595 yrs)
Last Updated
Sep 5, 2013
Licenses
RN586047 (CA)
NP21555 (CA)
Sole Proprietor
Yes

Practice Information

Address
262 BONITA LN
FOSTER CITY, CA, 944041982
Browse CA providers · Browse ZIP 94404
Phone
6505719090
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in FOSTER CITY, CA

Name Credential NPI
MRS. ALLISON JOYCE HOLT LARKIN MSN, NP 1548691686
CHARLENE HSIAOCHING CHANG NP 1043670441
BIANCA BLANCO NP 1649631078
SHAQUNNA MUHAMMAD NP-BC 1073049094
ALICE HSIEN TIEN TUNG 1346848579
JENNA REYNOLDS 1669259875
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.