Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 95003517 | CA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 95003517 | CA |
NPI | 1033661871 |
---|---|
Provider Name | Froiland Agana Ascano |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2016 |
Last Update Date | 05/04/2018 |