Provider Demographics
NPI:1053011726
Name:ALEGATA-QUIAMBAO, KAREN UNICA (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:UNICA
Last Name:ALEGATA-QUIAMBAO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 BRIDGEPOINTE PKWY APT 225
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-5016
Mailing Address - Country:US
Mailing Address - Phone:650-278-7332
Mailing Address - Fax:
Practice Address - Street 1:2205 BRIDGEPOINTE PKWY APT 225
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-5016
Practice Address - Country:US
Practice Address - Phone:650-278-7332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022488363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner