Doctor Name: | MS. ERIN LESLIE LI |
NPI Number: | 1538329990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 19400 |
Business Practice Address: | 1798 Bay Rd Ste A East Palo Alto, CA - 943035312 |
Business Phone Number: | 6503307410 |
Business Fax Number: | 6503214552 |
Mailing Address: | 1798 Bay Road, EAST PALO ALTO |
State: | CA |
Postal Code: | 94303 |
Phone Number: | 6503307410 |
Fax Number: | 6503214552 |
NPI Enumeration Date: | 06/10/2008 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |