Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 95007194 | CA |
NPI | 1043715444 |
---|---|
Provider Name | Patti Giallanzo |
First Address | Walnut Creek, CA 94597-2168 |
Second Address | Walnut Creek, CA 94597-2168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2018 |
Last Update Date | 14/10/2019 |