Taryn Clissold
Nurse Practitioner - Neonatal
505 Parnassus Ave 15 Icn
San Francisco
, California 94143-2204
Taryn Clissold
Nurse Practitioner - Neonatal
505 Parnassus Ave 15 Icn
San Francisco
, California 94143-2204
(415) 514-2700
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Taryn Clissold
- 3333 California Street Suite 1-10
- San Francisco, CA
- Zip : 94118-1981
- Phone : (415) 514-2700
Second Address
- Taryn Clissold
- 505 Parnassus Ave 15 Icn
- San Francisco, CA
- Zip : 94143-2204
- Phone : (414) 476-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 18748 | CA |
National Provider Identifier
| NPI | 1033431259 |
|---|---|
| Provider Name | Taryn Clissold |
| First Address | San Francisco, CA 94118-1981 |
| Second Address | San Francisco, CA 94143-2204 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2010 |
| Last Update Date | 18/08/2017 |
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.