Provider Demographics
NPI:1811337470
Name:STA. MARIA COMISO, ARLEEN (FNP-C)
Entity type:Individual
Prefix:
First Name:ARLEEN
Middle Name:
Last Name:STA. MARIA COMISO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ARLEEN
Other - Middle Name:
Other - Last Name:STA MARIA COMISO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2514 BERRYESSA RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-2947
Mailing Address - Country:US
Mailing Address - Phone:408-272-1432
Mailing Address - Fax:408-926-6142
Practice Address - Street 1:2514 BERRYESSA RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2947
Practice Address - Country:US
Practice Address - Phone:408-272-1432
Practice Address - Fax:408-926-6142
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22880363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care