Provider Demographics
NPI:1174112890
Name:LESTER, NOOSHIN (RN)
Entity type:Individual
Prefix:MISS
First Name:NOOSHIN
Middle Name:
Last Name:LESTER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MISS
Other - First Name:NOOSHIN
Other - Middle Name:
Other - Last Name:VASSELI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:705 TRANCAS ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3014
Mailing Address - Country:US
Mailing Address - Phone:707-255-6060
Mailing Address - Fax:
Practice Address - Street 1:705 TRANCAS ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3014
Practice Address - Country:US
Practice Address - Phone:707-255-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95219099163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology