PETER KUSNIERCZYK FNP MSN - NPI 1316093362 - Nurse Practitioner in Newark, CA

Q: What is Peter Kusnierczyk's NPI number?

The NPI number for Peter Kusnierczyk is 1316093362. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Peter Kusnierczyk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Kusnierczyk was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Peter Kusnierczyk Fnp Msn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER KUSNIERCZYK FNP MSN (NPI 1316093362) is an individual family provider in Newark, California, licensed in California (391426) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1316093362

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NamePETER KUSNIERCZYKCredential: FNP MSN

Location Address6066 CIVIC TERRACE AVENewark, CA 94560-3746

Mailing Address430 Miramar AveSan Francisco, CA 94112-1213 · (415) 585-4509 · Fax (510) 494-7210

Phone(510) 494-7235

Fax(510) 494-7210

Sole ProprietorNo

Enumeration DateJanuary 25, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316093362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 391426

6066 CIVIC TERRACE AVE, Newark, CA 94560

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEJINDER KAUR KHAIRA RN

Registered Nurse (Ambulatory Care)