TINA MARIE BUONCRISTIANI


Address: 402 Molino Ave, Mill Valley, CA 94941-3337
Phone: 4158882568

TINA MARIE BUONCRISTIANI (NPI# 1063744753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063744753
Entity Type Individual
Full Name TINA MARIE BUONCRISTIANI
Credential P.N.P.
Practice Address 402 Molino Ave
Mill Valley
CA 94941-3337
Mailing Address 505 Parnassus Ave
San Francisco
CA 94143-2204
Practice Telephone 4158882568
Mailing Telephone 4153531978
Enumeration Date 2010-02-04
Last Update Date 2010-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
11100 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 402 MOLINO AVE
City MILL VALLEY
State CA
Zip Code 94941-3337

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1235527904 Sheila Francis Lynch Social Worker 33 Millwood Street, Suite #3, Mill Valley, CA 94941 2015-01-05
1790197580 Linden Farrar Berry Marriage & Family Therapist 275 Miller Avenue, Mill Valley, CA 94941 2014-05-28
1073930343 Eman Elmi Podiatrist 7 North Knoll Road Suite 3, Mill Valley, CA 94941 2014-03-25
1053657726 Susan Pauly-o'neill Nurse Practitioner 750 Redwood Hwy Frontage Rd, Mill Valley, CA 94941 2012-12-27
1598049652 John Deri Psychiatry & Neurology 10 Millwood Street, Suite #4, Mill Valley, CA 94941 2011-10-06
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053657726 Susan Pauly-o'neill Nurse Practitioner 750 Redwood Hwy Frontage Rd, Mill Valley, CA 94941 2012-12-27

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1851990832 Casey Domine Nurse Practitioner 1750 10th St., Apt. A, Oakland, CA 94607 2020-10-21
1184221798 Larae Jean Hansen Nurse Practitioner 7805 Redondo St, Ventura, CA 93004-3814 2020-10-06
1497361612 Brandon Philip Obero Vinzon Nurse Practitioner 155 E 4th St Apt 206, Long Beach, CA 90802-2498 2020-09-22
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1831715770 Veronica Munoz-rivera I Nurse Practitioner 1327 Leopard Ct, Palmdale, CA 93551-4360 2020-06-16
1770102295 Roxanna Arely Caballero Nurse Practitioner 185 N Douglas Ave, Fresno, CA 93727-3637 2020-04-14
1053949214 Gina Louise James Nurse Practitioner 124 Stoney Hill Dr, Folsom, CA 95630-4614 2020-03-31
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Competitor

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City MILL VALLEY
Zip Code 94941

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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