Individual
MS. LYNNETTE A DECILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 GEARY BLVD, SAN FRANCISCO, CA 94115-3305
(415) 833-2000
Mailing address
2350 GEARY BLVD, SAN FRANCISCO, CA 94115-3305
(415) 833-4356
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP 13102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
(PIN):ZZZ30041Z
PROVIDER IDENTIFICATION #
CA
01
—
RN518440
MEDICAL PROVIDER RENDERIN
CA
Enumeration date
11/02/2006
Last updated
11/29/2023
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