Provider Demographics
NPI:1548877145
Name:PIEGER, KARIDA (FNP-C)
Entity type:Individual
Prefix:
First Name:KARIDA
Middle Name:
Last Name:PIEGER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 YGNACIO VALLEY RD STE T
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3343
Mailing Address - Country:US
Mailing Address - Phone:925-954-8209
Mailing Address - Fax:925-891-4292
Practice Address - Street 1:2255 YGNACIO VALLEY RD STE T
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3343
Practice Address - Country:US
Practice Address - Phone:925-954-8209
Practice Address - Fax:925-891-4292
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017570363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty