Provider Demographics
NPI:1104651496
Name:NURAY GERCEK FAMILY NURSE PRACTITIONER
Entity type:Organization
Organization Name:NURAY GERCEK FAMILY NURSE PRACTITIONER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NURAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERCEK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:415-200-9598
Mailing Address - Street 1:1124 TABOR AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-3122
Mailing Address - Country:US
Mailing Address - Phone:415-200-9598
Mailing Address - Fax:800-308-6686
Practice Address - Street 1:1124 TABOR AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-3122
Practice Address - Country:US
Practice Address - Phone:415-200-9598
Practice Address - Fax:800-308-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center