Individual provider · NPI-1

Alix Bard, FNP-C

Nurse Practitioner, Family · Mountain View, CA

NPI number1588242002
StatusActive
Last updated in NPPESAug 17, 2021

Details

NPI
1588242002
Entity type
Individual (NPI-1)
Name
Alix Bard
Credential
FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 29, 2021
Certification date
Aug 17, 2021
Last updated
Aug 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95017979CAYes
363LP2300X Nurse Practitioner, Primary Care71010996AIN

Practice location

515 South Dr Ste 25
Mountain View, CA 94040-4209

Phone 650-964-2200

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

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