Individual provider · Type 1 NPI

Nanelle Tesoro Petrocik, RN

Diabetes Educator Registered Nurse · Long Beach, CA

NPI number 1104695519 Active

Practice location

5901 E 7th St Rm 1S149
Long Beach, CA 90822-5201

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400X95106753 (CA)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1104695519

Nanelle Tesoro Petrocik, RN's National Provider Identifier is 1104695519, issued on Dec 27, 2023. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Long Beach, CA. The record was last updated on Dec 27, 2023.