Provider Demographics
NPI:1225277015
Name:TILSNER, JULI ANN (LM)
Entity Type:Individual
Prefix:
First Name:JULI
Middle Name:ANN
Last Name:TILSNER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14282
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-0282
Mailing Address - Country:US
Mailing Address - Phone:415-835-0663
Mailing Address - Fax:
Practice Address - Street 1:872 47TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94608-3202
Practice Address - Country:US
Practice Address - Phone:415-835-0663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife