| Fern Cudlip, FNP, MSN | |
|
20103 Lake Chabot Rd, Neuroscience Department, Castro Valley, CA 94546-5305 | |
| (510) 728-1634 | |
| (510) 727-1484 |
| Full Name | Fern Cudlip |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 20103 Lake Chabot Rd, Castro Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922240183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP7711 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Fern Cudlip, FNP, MSN 20103 Lake Chabot Rd, Neuroscience Department, Castro Valley, CA 94546-5305 Ph: (510) 728-1634 | Fern Cudlip, FNP, MSN 20103 Lake Chabot Rd, Neuroscience Department, Castro Valley, CA 94546-5305 Ph: (510) 728-1634 |
Mrs. Olivia Loana Rusu, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17635 Almond Rd, Castro Valley, CA 94546 Phone: 510-886-0341 | |
Mrs. Christina Vega, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3038 | |
Caleb Cooper, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 256-777-1638 | |
Jacqueline Margolese, MSN, FNP-C, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-2759 | |
Erica Meng Guo, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3001 | |
Gahfora Gorsi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20642 John Dr, Castro Valley, CA 94546 Phone: 510-785-5000 | |
Parminder Kour Sidhu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19845 Lake Chabot Rd Ste 205, Castro Valley, CA 94546 Phone: 209-620-6725 |