Individual provider · Type 1 NPI
Fides D. Antonio, NP
Nurse Practitioner · Walnut Creek, CA
Practice location
130 La Casa Via Ste 108
Walnut Creek, CA 94598-3036
Fax (866) 507-1164
Mailing address
901 Mcclintock Dr Ste 202
Burr Ridge, IL 60527-0872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95015546 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1609462845
Fides D. Antonio, NP's National Provider Identifier is 1609462845, issued on Dec 11, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Walnut Creek, CA. The record was last updated on Dec 11, 2020.