Individual
DESIREE NADINE ANTONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 HEYMAN AVE, SAN FRANCISCO, CA 94110-5126
(415) 378-7565
Mailing address
8 HEYMAN AVE, SAN FRANCISCO, CA 94110-5126
(415) 378-7565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNAVAILABLE
UNAVAILABLE
CA
Enumeration date
04/02/2022
Last updated
04/02/2022
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