Provider Demographics
NPI:1437483914
Name:REUTER, GIANA DONATI CONSIGLIERI (C-PNP)
Entity Type:Individual
Prefix:
First Name:GIANA
Middle Name:DONATI CONSIGLIERI
Last Name:REUTER
Suffix:
Gender:F
Credentials:C-PNP
Other - Prefix:
Other - First Name:GIANA
Other - Middle Name:LOUISE DONATI
Other - Last Name:CONSIGLIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:C-PNP
Mailing Address - Street 1:3020 CHILDRENS WAY
Mailing Address - Street 2:MC5003
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4223
Mailing Address - Country:US
Mailing Address - Phone:858-309-6300
Mailing Address - Fax:
Practice Address - Street 1:7910 FROST ST
Practice Address - Street 2:STE 200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2771
Practice Address - Country:US
Practice Address - Phone:858-966-4032
Practice Address - Fax:858-966-6227
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP16763363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics