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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
19293 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
300 PASTEUR DR |
City | STANFORD |
State | CA |
Zip Code | 94305-2200 |
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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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 Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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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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.