Individual
LYDIA MUZOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
400 PARNASSUS AVE FL 5, SAN FRANCISCO, CA 94143-2202
(415) 353-1606
(302) 733-6082
Mailing address
4755 OGLETOWN STANTON RD STE 2E70, NEWARK, DE 19718-2200
(302) 733-3475
(302) 733-6082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0072462
DE
363LA2200X
Adult Health Nurse Practitioner
Primary
95031954
CA
363LA2200X
Adult Health Nurse Practitioner
LP-0010685
DE
363LG0600X
Gerontology Nurse Practitioner
95031954
CA
363LG0600X
Gerontology Nurse Practitioner
LP-0010685
DE
Other
Enumeration date
10/06/2023
Last updated
06/05/2025
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