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Mrs. Mara Bertoli, NP-C
Family Nurse Practitioner in Santa Rosa, California
NPI 1700293339

Mara Bertoli is a Family Nurse Practitioner based in Santa Rosa, CA and is specialized in Family. Mara Bertoli practices in Santa Rosa, CA and has the professional credentials of NP-C. The NPI Number for Mara Bertoli is 1700293339 and holds a License No. 95000942 (California).

The current practice location address for Mara Bertoli is 1255 N Dutton Ave, Santa Rosa, CA and can be reached out via phone at 707-546-9400.

Location: 1255 N Dutton Ave, Santa Rosa, CA, 95401-4663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700293339
Provider Name
Mara Bertoli
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
1255 N Dutton Ave, Santa Rosa, CA, 95401-4663
Phone Number
707-546-9400
Fax Number
Provider Enumeration Date
07/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA151349 01 CA MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
1255 N Dutton Ave
City
Santa Rosa
State
California
Zip
95401-4663
Phone Number
707-546-9400
Fax Number
person
Provider Business Mailing Address Details
Address
1255 N Dutton Ave
City
Santa Rosa
State
California
Zip
95401-4663
Phone Number
707-546-9400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95000942 (California)
Definition
Definition to come...
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