| Doctor Name: | NAPOLEON NAZARENO |
| NPI Number: | 1427466465 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | 95000985 |
| Business Practice Address: | 987 E Hillsdale Blvd Foster City, CA - 944042112 |
| Business Phone Number: | 8663892727 |
| Business Fax Number: | |
| Mailing Address: | 41548 Trenouth St, FREMONT |
| State: | CA |
| Postal Code: | 945384125 |
| Phone Number: | 5103662226 |
| Fax Number: | |
| NPI Enumeration Date: | 07/22/2014 |
| NPI Last Update Date: | 08/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95000985 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |