Provider Demographics
NPI:1346084472
Name:PABAND, FAHIMA (FNP-BC)
Entity type:Individual
Prefix:
First Name:FAHIMA
Middle Name:
Last Name:PABAND
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CASTILLO DEL MAR
Mailing Address - Street 2:
Mailing Address - City:CAPISTRANO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92624-1831
Mailing Address - Country:US
Mailing Address - Phone:760-277-1029
Mailing Address - Fax:
Practice Address - Street 1:8 CASTILLO DEL MAR
Practice Address - Street 2:
Practice Address - City:CAPISTRANO BEACH
Practice Address - State:CA
Practice Address - Zip Code:92624-1831
Practice Address - Country:US
Practice Address - Phone:760-277-1029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95030336363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily