LAILA RANIA TANNURA (NPI# 1942710140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942710140 |
Entity Type | Individual |
Full Name | LAILA RANIA TANNURA |
Other Name | LAILA RANIA NOSSIER |
Credential | NP |
Practice Address |
837 Addison St. Berkeley CA 94710 |
Mailing Address |
906 Camelia St Berkeley CA 94710-1448 |
Practice Telephone | 5109814100 |
Mailing Telephone | 5102900680 |
Enumeration Date | 2017-10-03 |
Last Update Date | 2017-10-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95007510 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BOARD OF REGISTERED NURSING | 95007510 | 01 |
Street Address |
837 ADDISON ST. |
City | BERKELEY |
State | CA |
Zip Code | 94710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740836857 | Elizabeth B. Isono | Occupational Therapy Assistant | 2550 9th Street, Suite115, Berkeley, CA 94710 | 2019-08-14 |
1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
1841774213 | Erin Royle | Nurse Practitioner | 800 Dwight Way, Berkeley, CA 94710 | 2018-09-20 |
1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
1578016556 | Elizaveta Pachepsky | Counselor | 1061 Eastshore Hwy, Albany, CA 94710 | 2016-07-26 |
1245624832 | Jody Slendebroek | Behavioral Analyst | 2560 9th Street Suite 220a, Ste Consultants LLC, Berkeley, CA 94710 | 2015-03-23 |
1104234731 | Felicia Ma | Physician Assistant | 2344 Sixth Street, Berkeley, CA 94710 | 2014-07-28 |
1699197228 | Henriette Agnes Lenssen | Acupuncturist | 809 Delaware St, Berkeley, CA 94710 | 2014-01-16 |
1598198350 | Fiona C. Lundy | Social Worker | 837 Addison Street, Berkeley, CA 94710 | 2013-08-15 |
1649557885 | Melissa Gabriel | Pharmacist | 1057 East Shore Hwy, Target T-1926, Albany, CA 94710 | 2011-11-15 |
Find all providers in zip 94710 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
1295210995 | Brian Christopher Vassalo | Nurse Practitioner | 1528 Woolsey St Apt D, Berkeley, CA 94703-2353 | 2018-09-27 |
1275063323 | Alice Mak | Nurse Practitioner | 3154 College Ave Apt 2, Berkeley, CA 94705-2747 | 2017-06-12 |
1174996839 | Niccole Blanchet | Nurse Practitioner | 3095 Telegraph Ave, Berkeley, CA 94705-2035 | 2015-11-03 |
1497996953 | Tamra Leigh Groode | Nurse Practitioner | 2701 Martin Luther King Jr Way, Berkeley, CA 94703-2165 | 2009-03-13 |
1306066576 | Gretchen Leslie Meyer | Nurse Practitioner | 2016 Delaware St # A, Berkeley, CA 94709-2122 | 2007-04-27 |
1285765313 | Mythilla Karunaratne | Nurse Practitioner | 2999 Regent St Ste 425, Berkeley, CA 94705-2119 | 2007-03-08 |
1144358532 | Pam Elizabeth Cameron | Nurse Practitioner | University Health Servcices 2222 Bancroft Way, Berkeley, CA 94720-4300 | 2007-02-28 |
1497851653 | Maile Concolino Matier | Nurse Practitioner | 2222 Bancroft Ext # 4300, Berkeley, CA 94720-4300 | 2006-09-15 |
1366083545 | Jamba Dolkar Tenzing | Nurse Practitioner | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2019-09-30 |
Find all providers in BERKELEY |
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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.