Provider Demographics
NPI:1841742400
Name:LOPRESTI, CALLIE MAGUIRE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CALLIE
Middle Name:MAGUIRE
Last Name:LOPRESTI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CALLIE
Other - Middle Name:LYNN
Other - Last Name:MAGUIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1975 4TH ST
Mailing Address - Street 2:UCSF, PEDIATRIC BONE MARROW TRANSPLANT
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2351
Mailing Address - Country:US
Mailing Address - Phone:415-476-2188
Mailing Address - Fax:415-502-4867
Practice Address - Street 1:1975 4TH ST
Practice Address - Street 2:UCSF, PEDIATRIC BONE MARROW TRANSPLANT
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2351
Practice Address - Country:US
Practice Address - Phone:415-476-2188
Practice Address - Fax:415-502-4867
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005231363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics