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Cccma
Family Nurse Practitioner in Millbrae, California
NPI 1174955587

Cccma is a Family Nurse Practitioner based in Hayward, CA and is specialized in Family. Cccma practices in Millbrae, CA. The NPI Number for Cccma is 1174955587 and holds a License No. 22677 (California).

The current practice location address for Cccma is 1149 Fernwood Dr, Millbrae, CA and can be reached out via phone at 650-302-5864.

Location: 1149 Fernwood Dr, Millbrae, CA, 94545-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174955587
Provider Name
Cccma
Credential
Provider Entity Type
Organization
Address
1149 Fernwood Dr, Millbrae, CA, 94545-4300
Phone Number
650-302-5864
Fax Number
Provider Enumeration Date
08/07/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1149 Fernwood Dr
City
Millbrae
State
California
Zip
94030-1011
Phone Number
650-302-5864
Fax Number
person
Provider Business Mailing Address Details
Address
1149 Fernwood Dr
City
Millbrae
State
California
Zip
94030-1011
Phone Number
650-302-5864
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Long Term Care Hospital
Speciality
-
Taxonomy
282E00000X
License No.
22677 (California)
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
22677 (California)
Definition
Definition to come...
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