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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1811221070 | NPPES |
| Wyoming | Other | 116LH09 | WYOMING CONTROLLED SUBSTANCE REGISTRATION |
| Wyoming | Other | W23006 | WYOMING CONTROLLED SUBSTANCE REGISTRATION |
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