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Krystal Annie Bodily, FNP
Family Medicine Physician in Santa Rosa, California
NPI 1912463407

Krystal Annie Bodily is a Family Medicine Physician based in Fremont, CA. Krystal Annie Bodily practices in Santa Rosa, CA and has the professional credentials of FNP. The NPI Number for Krystal Annie Bodily is 1912463407 and holds a License No. 95011099 (California).

The current practice location address for Krystal Annie Bodily is 751 Lombardi Ct, Santa Rosa, CA and can be reached out via phone at 707-547-2222.

Location: 751 Lombardi Ct, Santa Rosa, CA, 94536-5304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912463407
Provider Name
Krystal Annie Bodily
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
751 Lombardi Ct, Santa Rosa, CA, 94536-5304
Phone Number
707-547-2222
Fax Number
Provider Enumeration Date
02/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95011099 01 CA CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS
institution
Provider Business Practice Location Address Details
Address
751 Lombardi Ct
City
Santa Rosa
State
California
Zip
95407-6798
Phone Number
707-547-2222
Fax Number
person
Provider Business Mailing Address Details
Address
751 Lombardi Ct
City
Santa Rosa
State
California
Zip
95407-6798
Phone Number
707-547-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
95011099 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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