Provider Demographics
NPI:1801038245
Name:VALCARCEL, TARA LYNN (RN, CPNP)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:LYNN
Last Name:VALCARCEL
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Gender:F
Credentials:RN, CPNP
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Mailing Address - Street 1:533 PARNASSUS AVE # U-127
Mailing Address - Street 2:BOX 0107
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2208
Mailing Address - Country:US
Mailing Address - Phone:415-502-4258
Mailing Address - Fax:415-502-7540
Practice Address - Street 1:533 PARNASSUS AVE # U-127
Practice Address - Street 2:BOX 0107
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2208
Practice Address - Country:US
Practice Address - Phone:415-502-4258
Practice Address - Fax:415-502-7540
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2011-01-11
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Provider Licenses
StateLicense IDTaxonomies
CA19784363LP0200X
CA706683163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse