Individual
ANDREW K CHINNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
400 N MCDOWELL BLVD, PETALUMA, CA 94954-2339
(707) 776-8066
Mailing address
5000 HOPYARD RD, SUITE 100, PLEASANTON, CA 94588-3146
(925) 924-1600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18998
FNP LICENSE
CA
Enumeration date
06/18/2010
Last updated
06/18/2010
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