Provider Demographics
NPI:1881202893
Name:WARIUKI FRANK, FIONA (NP)
Entity Type:Individual
Prefix:
First Name:FIONA
Middle Name:
Last Name:WARIUKI FRANK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15611 POMERADO RD STE 520
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2437
Mailing Address - Country:US
Mailing Address - Phone:858-312-5492
Mailing Address - Fax:760-745-9240
Practice Address - Street 1:15611 POMERADO RD STE 520
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2437
Practice Address - Country:US
Practice Address - Phone:858-312-5492
Practice Address - Fax:760-745-9240
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014438363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF12190091OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS