Nicole M Cresalia
Pediatrician Pediatric Cardiologist
400 Parnassus Ave
San Francisco
, California 94143-2202
Nicole M Cresalia
Pediatrician Pediatric Cardiologist
400 Parnassus Ave
San Francisco
, California 94143-2202
(734) 936-2047
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About
Features
Specialties
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Nicole M Cresalia
- 3621 S State St 700 Kms Place
- Ann Arbor, MI
- Zip : 48108
- Phone : (734) 936-2047
Second Address
- Nicole M Cresalia
- 400 Parnassus Ave
- San Francisco, CA
- Zip : 94143-2202
- Phone : (415) 476-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 4301102334 | MI |
| N | 208000000X | Pediatrician | A149944 | CA |
| N | 2080P0202X | Pediatric Cardiologist | 4301102334 | MI |
| Y | 2080P0202X | Pediatric Cardiologist | A149944 | CA |
National Provider Identifier
| NPI | 1205148681 |
|---|---|
| Provider Name | Nicole M Cresalia |
| First Address | Ann Arbor, MI 48108 |
| Second Address | San Francisco, CA 94143-2202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2010 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.