Individual
SUSAN TANCREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
10777 SCIENCE CENTER DR, OHW, CB1/1167, SAN DIEGO, CA 92121-1111
(858) 622-8860
Mailing address
PO BOX 400111, SAN DIEGO, CA 92140-0111
(619) 298-4488
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
440373
CA
Other
Enumeration date
04/09/2007
Last updated
02/12/2010
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