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Genesis Callejas-mir, NP
Family Nurse Practitioner in Santa Rosa, California
NPI 1013675370

Genesis Callejas-mir is a Family Nurse Practitioner based in Santa Rosa, CA and is specialized in Family. Genesis Callejas-mir practices in Santa Rosa, CA and has the professional credentials of NP. The NPI Number for Genesis Callejas-mir is 1013675370 and holds a License No. 95018148 (California).

The current practice location address for Genesis Callejas-mir is 1501 Mendocino Ave, Santa Rosa, CA and can be reached out via phone at 707-527-4445.

Location: 1501 Mendocino Ave, Santa Rosa, CA, 95401-4395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013675370
Provider Name
Genesis Callejas-mir
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1501 Mendocino Ave, Santa Rosa, CA, 95401-4395
Phone Number
707-527-4445
Fax Number
Provider Enumeration Date
12/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 Mendocino Ave
City
Santa Rosa
State
California
Zip
95401-4332
Phone Number
707-527-4445
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Mendocino Ave
City
Santa Rosa
State
California
Zip
95401-4332
Phone Number
707-527-4445
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95018148 (California)
Definition
Definition to come...
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