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Ms. Mary R Petrucelli, PNP
Pediatric Nurse Practitioner in Stanford, California
NPI 1710434410

Mary R Petrucelli is a Pediatric Nurse Practitioner based in Stanford, CA and is specialized in Pediatrics. Mary R Petrucelli practices in Stanford, CA and has the professional credentials of PNP. The NPI Number for Mary R Petrucelli is 1710434410 and holds a License No. 19293 (California).

The current practice location address for Mary R Petrucelli is 300 Pasteur Dr, Stanford, CA and can be reached out via phone at 650-723-4000.

Location: 300 Pasteur Dr, Stanford, CA, 94305-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710434410
Provider Name
Mary R Petrucelli
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
300 Pasteur Dr, Stanford, CA, 94305-2200
Phone Number
650-723-4000
Fax Number
Provider Enumeration Date
09/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-723-4000
Fax Number
person
Provider Business Mailing Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-723-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
19293 (California)
Definition
Definition to come...
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