Individual provider · Type 1 NPI
Mary Ellen Mannix-Cantillon, NP
Family Nurse Practitioner · San Francisco, CA
NPI number
1629085113
Active
Practice location
4150 Clement St, Sfvamc Neurosurgery Service (112)
San Francisco, CA 94121-1545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 336318 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 336318 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629085113
Mary Ellen Mannix-Cantillon, NP's National Provider Identifier is 1629085113, issued on Aug 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Francisco, CA. The record was last updated on Jul 12, 2007.