Individual
AMBILI N THANNIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 16TH STREET 5TH FLOOR, SAN FRANCISCO, CA 94158
(415) 476-5153
Mailing address
550 16TH ST FL 5, SAN FRANCISCO, CA 94158-2545
(415) 476-5153
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95007211
CA
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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