IndividualActive
Sheethal Lukose
NPI 1023870458 · Gerontology Clinical Nurse Specialist · Fremont, CA
Provider details
- NPI number
- 1023870458
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3012 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone: (510) 248-3000
Approximate (ZIP-level) locationGet directions
Mailing address
3233 Briggs Ct
Fremont, CA 94536-2406
Registry dates
- Enumerated
- 2024-01-30
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.