Provider Demographics
NPI:1508091174
Name:ATIENZA, CHARMIE NAPA
Entity Type:Individual
Prefix:
First Name:CHARMIE
Middle Name:NAPA
Last Name:ATIENZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHARMIE
Other - Middle Name:NAPA
Other - Last Name:ATIENZA-PALABRICA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2878 TARA HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-1459
Mailing Address - Country:US
Mailing Address - Phone:510-334-5145
Mailing Address - Fax:
Practice Address - Street 1:887 POTRERO AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2869
Practice Address - Country:US
Practice Address - Phone:628-206-3206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95193898163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse