MS. MARY R PETRUCELLI


Address: 300 Pasteur Dr, Stanford, CA 94305-2200
Phone: 6507234000

MS. MARY R PETRUCELLI (NPI# 1710434410) 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) 1710434410
Entity Type Individual
Full Name MS. MARY R PETRUCELLI
Credential PNP
Practice Address 300 Pasteur Dr
Stanford
CA 94305-2200
Practice Telephone 6507234000
Mailing Telephone 6507234000
Enumeration Date 2016-09-09
Last Update Date 2016-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
19293 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300 PASTEUR DR
City STANFORD
State CA
Zip Code 94305-2200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729152 Atulkumar Thakorlal Shah Internal Medicine 300 Pasteur Dr, Stanford, CA 94305-2200 2005-06-08
1952913634 Honey R Beddingfield Nurse Practitioner 300 Pasteur Dr, Stanford, CA 94305-2200 2020-08-23
1790394369 Olivier Veilleux Student in an Organized Health Care Education/Training Program 300 Pasteur Dr, Stanford, CA 94305-2200 2020-07-29
1588272827 Maia Borensztein Genetic Counselor, MS 300 Pasteur Dr, Stanford, CA 94305-2200 2020-07-22
1205444833 Kristen Seeley Nurse Practitioner 300 Pasteur Dr, Stanford, CA 94305-2200 2020-07-20
1568088540 Zenebu Sinor Tegegne Nurse Practitioner 300 Pasteur Dr, Stanford, CA 94305-2200 2020-06-24
1366068827 Theresa Ina Brondstetter Nurse Practitioner 300 Pasteur Dr, Rm H0101, Mc 5623, Stanford, CA 94305-5623 2020-06-21
1760003024 Lovemore Makusha Student in an Organized Health Care Education/Training Program 300 Pasteur Dr, Stanford, CA 94305-2200 2020-04-28
1467073676 Keena R Patel Nurse Practitioner 300 Pasteur Dr, Stanford, CA 94305-2299 2020-04-28
1033730361 Lap K Huynh Student in an Organized Health Care Education/Training Program 300 Pasteur Dr, Stanford, CA 94305-2200 2020-04-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760092126 Meilin Liang Physician Assistant 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 2020-07-31
1356962484 Shuo Cai Student in an Organized Health Care Education/Training Program 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 2020-04-29
1760046916 Jennifer M Piselli Physician Assistant 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 2019-04-23
1912482365 Martin Nikolaus Stienen Neurological Surgery Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 2018-10-02
1043797434 Natalie Lynn Dykzeul Genetic Counselor, MS 300 Pasteur Drive H315, Stanford, CA 94305 2018-07-27
1144727223 Kingsley Anuoluwapo Oladeji Student in an Organized Health Care Education/Training Program Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 2018-04-06
1437675402 Abhinav Sharma Internal Medicine 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 2017-08-21
1194258491 Silvia Paola Russo Student in an Organized Health Care Education/Training Program 300 Pasteur Dr # H3144, Palo Alto, CA 94305 2017-04-04
1649629155 Jason Ross Student in an Organized Health Care Education/Training Program Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 2016-06-06
1588010235 Brian Dang Pharmacist 500 Pasteur Drive Room J010, Stanford, CA 94305 2016-05-12
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154515096 Carol Ann Sherman Nurse Practitioner 300 Pasteur Dr # R223, Stanford, CA 94305-2200 2007-09-04
1164634044 Patricia Ann Murphy Nurse Practitioner Stanford Cancer Center, Neuro-oncology, 875 Blake-wilbur Dr. Rm Cc2221a, Stanford, CA 94305-5826 2007-05-04
1255627659 Netra Punjabi Nurse Practitioner 300 Pasteur Dr, Room G-313, Stanford, CA 94305-2200 2011-06-23
1609193481 Janet Lynn Godfrey Nurse Practitioner 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 2010-05-03
1174853543 Dannielle Bina Weil Nurse Practitioner 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 2010-01-07
1427382639 Arlene M Sheehan Nurse Practitioner 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 2009-09-22
1306170519 Nicole L Weigel Nurse Practitioner 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 2009-09-22
1316271570 Adrianna R Miranda Nurse Practitioner 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 2009-09-21
1861623084 Beth Ann Wagner Nurse Practitioner 300 Pasteur Drive, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 2009-08-05
1972734366 Marilyn Grace Lopez Nurse Practitioner 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 2009-08-03
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City STANFORD
Zip Code 94305

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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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