Tantarelli, Jenifer J

Tantarelli, Jenifer J is an individual health care provider with primary practice located at 1154 Montgomery Dr , Santa Rosa CA 95405-4816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as her primary health care specialty. Tantarelli, Jenifer J can be contacted via phone (707) 547-4611.

Contact Information

Primary practice address
1154 Montgomery Dr Santa Rosa CA 95405-4816
Phone: (707) 547-4611
Fax: (707) 522-1202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X NP 17620 California

Profile Details

NPI number 1972767739
LBN Legal business name Tantarelli, Jenifer J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Jun 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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