Doctor Name: | MS. ANDREA E PICCHI |
NPI Number: | 1063573251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, NP |
License Number: | 308682 |
Business Practice Address: | 3000 Las Positas Rd Livermore, CA - 945519627 |
Business Phone Number: | 9252434416 |
Business Fax Number: | 9252434420 |
Mailing Address: | 3787 Brookdale Blvd, CASTRO VALLEY |
State: | CA |
Postal Code: | 945462013 |
Phone Number: | 9252434416 |
Fax Number: | 9252434420 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 308682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |