Individual
KRUPALIBEN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
392 TESCONI CT, SANTA ROSA, CA 95401-4653
(229) 740-5163
Mailing address
392 TESCONI CT, SANTA ROSA, CA 95401-4653
(229) 740-5163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-185295
AL
163W00000X
Registered Nurse
95333355
CA
363L00000X
Nurse Practitioner
Primary
95034164
CA
Other
Enumeration date
03/13/2023
Last updated
06/02/2025
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