Provider Demographics
NPI:1831122951
Name:NOBILETTE, LAURIE A (FNP,MSN)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:A
Last Name:NOBILETTE
Suffix:
Gender:F
Credentials:FNP,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1250
Mailing Address - Country:US
Mailing Address - Phone:415-355-7494
Mailing Address - Fax:415-355-7407
Practice Address - Street 1:230 GOLDEN GATE AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3706
Practice Address - Country:US
Practice Address - Phone:415-355-7407
Practice Address - Fax:415-355-7407
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP7270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily