Individual
MS. ANN MARIE DALEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 30TH ST, SUITE 407, OAKLAND, CA 94609-3424
(510) 419-0230
Mailing address
350 30TH ST, SUITE 407, OAKLAND, CA 94609-3424
(510) 419-0230
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP14287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ07022Z
PTAN
CA
Enumeration date
09/24/2006
Last updated
06/20/2016
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