MICHELE C TOMASULO


Address: 5733 Lochcarron Dr, Marysville, CA 95901-8367
Phone: 9254084427

MICHELE C TOMASULO (NPI# 1336109248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336109248
Entity Type Individual
Full Name MICHELE C TOMASULO
Credential FNP
Practice Address 5733 Lochcarron Dr
Marysville
CA 95901-8367
Practice Telephone 9254084427
Mailing Telephone 9254084427
Enumeration Date 2006-03-24
Last Update Date 2018-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
374606 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
11613 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5733 LOCHCARRON DR
City MARYSVILLE
State CA
Zip Code 95901-8367

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City MARYSVILLE
Zip Code 95901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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