Individual
MICHELLE TRICIA PANLILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RNP-BC
Contact information
Practice address
1245 16TH ST, #206, SANTA MONICA, CA 90404-1235
(310) 319-3222
(310) 319-4141
Mailing address
1245 16TH ST, #206, SANTA MONICA, CA 90404-1235
(310) 319-3222
(310) 319-4141
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP 15979
CA
Other
Enumeration date
04/04/2013
Last updated
09/06/2013
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