Provider Demographics
NPI:1265247126
Name:UPADHYA, SWATI (FNP-C)
Entity type:Individual
Prefix:
First Name:SWATI
Middle Name:
Last Name:UPADHYA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3054 W AVENUE M2
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-2842
Mailing Address - Country:US
Mailing Address - Phone:661-917-0120
Mailing Address - Fax:
Practice Address - Street 1:3054 W AVENUE M2
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-2842
Practice Address - Country:US
Practice Address - Phone:661-917-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily