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Cornelia Tjandra, FNP
Family Nurse Practitioner in San Bruno, California
NPI 1841466406

Cornelia Tjandra is a Family Nurse Practitioner based in Castro Valley, CA and is specialized in Family. Cornelia Tjandra practices in San Bruno, CA and has the professional credentials of FNP. The NPI Number for Cornelia Tjandra is 1841466406 and holds a License No. R196275 (California).

The current practice location address for Cornelia Tjandra is 3300 College Dr Bldg 19, San Bruno, CA and can be reached out via phone at 650-738-4270.

Location: 3300 College Dr Bldg 19, San Bruno, CA, 94552-5539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841466406
Provider Name
Cornelia Tjandra
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3300 College Dr Bldg 19, San Bruno, CA, 94552-5539
Phone Number
650-738-4270
Fax Number
Provider Enumeration Date
05/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3300 College Dr Bldg 19
City
San Bruno
State
California
Zip
94066-1698
Phone Number
650-738-4270
Fax Number
person
Provider Business Mailing Address Details
Address
3300 College Dr Bldg 19
City
San Bruno
State
California
Zip
94066-1698
Phone Number
650-738-4270
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R196275 (Maryland)
Definition
Definition to come...
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