Provider Demographics
NPI:1720223290
Name:MALONE, PATRICIA CARTIERI (NP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CARTIERI
Last Name:MALONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 PARNASSUS AVENUE
Mailing Address - Street 2:MU EAST , ROOM 437
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-514-0334
Mailing Address - Fax:415-476-6260
Practice Address - Street 1:500 PARNASSUS AVE
Practice Address - Street 2:MU EAST, ROOM 437
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2203
Practice Address - Country:US
Practice Address - Phone:415-514-0334
Practice Address - Fax:415-476-6260
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12006363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner