Individual
DIRK M COLLEVECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, AGNP-C
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Mailing address
349 27TH AVE, SAN FRANCISCO, CA 94121-1811
(443) 243-3136
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95015285
CA
Other
Enumeration date
08/10/2018
Last updated
03/22/2023
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