Provider Demographics
NPI:1417031162
Name:SARLATTE, JOAN E (NP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:E
Last Name:SARLATTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 ROMANY RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-2018
Mailing Address - Country:US
Mailing Address - Phone:510-658-4885
Mailing Address - Fax:510-307-2565
Practice Address - Street 1:901 NEVIN AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-3143
Practice Address - Country:US
Practice Address - Phone:510-307-2575
Practice Address - Fax:510-307-2565
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP1906163WX0106X
CACA226738363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner