Individual provider · Type 1 NPI

Annie Rose Condolon-Kohler, NP

Family Nurse Practitioner · Fairfield, CA

NPI number 1174086359 Active

Practice location

4520 Business Center Dr
Fairfield, CA 94534-6888

Call (707) 646-5500 Map

Mailing address

1724 Ashtree Ct
Fairfield, CA 94534-3964

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95011293 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1174086359

Annie Rose Condolon-Kohler, NP's National Provider Identifier is 1174086359, issued on Apr 13, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairfield, CA. The record was last updated on Apr 13, 2019.