SUSAN TANCREDI


Address: 10777 Science Center Dr, Ohw, Cb1/1167, San Diego, CA 92121-1111
Phone: 8586228860

SUSAN TANCREDI (NPI# 1558484972) 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) 1558484972
Entity Type Individual
Full Name SUSAN TANCREDI
Credential ANP-BC
Practice Address 10777 Science Center Dr
Ohw, Cb1/1167
San Diego
CA 92121-1111
Mailing Address Po Box 400111
San Diego
CA 92140-0111
Practice Telephone 8586228860
Mailing Telephone 6192984488
Enumeration Date 2007-04-09
Last Update Date 2010-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0106X Nurse Practitioner
Specialization: Occupational Health
440373 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10777 SCIENCE CENTER DR
OHW, CB1/1167
City SAN DIEGO
State CA
Zip Code 92121-1111

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NPI Name Taxonomy Address Enumeration
1104216365 Eric Powell Pathology 10777 Science Center Dr, San Diego, CA 92121-1111 2015-01-27

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1831674464 Stepahnie Becerra Behavior Technician 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 2018-09-28
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Taxonomy Information

Taxonomy Code 363LX0106X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Occupational Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1588810683 Pamela Burdt Nurse Practitioner 330 Lewis St, Ste 100, San Diego, CA 92103-2108 2008-08-08
1437371796 Barbara Regis Nurse Practitioner 3020 Childrens Way, San Diego, CA 92123-4223 2007-05-03
1346362134 Leslie Cross Thompson Nurse Practitioner 8695 Spectrum Center Blvd, San Diego, CA 92123-1489 2007-04-04
1215059753 Gayle Marie Peterson Nurse Practitioner 8695 Spectrum Center Blvd, San Diego, CA 92123-1489 2007-04-04
1023130606 Janet Roberta Macauley Nurse Practitioner 7901 Frost St, San Diego, CA 92123-2701 2007-04-04
1578629820 Cheryl Ann Prestianni Nurse Practitioner 330 Lewis St, Ste 100, San Diego, CA 92103-2108 2006-12-29

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1619315165 Christine Hovorka Weimer Nurse Practitioner 1515 Walnut Grove Ave, 1st Floor, Rosemead, CA 91770-3710 2013-06-06
1497098529 Erin Lum Nurse Practitioner 77 Beale St Fl 3, Pg&e Health Center, San Francisco, CA 94105-1814 2013-03-27
1194019448 Susan S Harada Nurse Practitioner 405 Bedford Pl, Thousand Oaks, CA 91360-5329 2011-06-03
1104151182 Mary Elizabeth Murali Nurse Practitioner 1159 Mataro Ct, Pleasanton, CA 94566-6981 2009-10-08
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Competitor

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City SAN DIEGO
Zip Code 92121

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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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