Diana Tatarkhanova, NP
Nurse Practitioner, Obstetrics & Gynecology in San Carlos, CA. Individual provider (NPI-1).
NPI number1043988231
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1043988231
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Diana Tatarkhanova
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2021
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | NP95017987 | CA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 95017987 | CA |
Practice location
301 Industrial RdSan Carlos, CA 94070-2603
Phone 650-596-4240
Mailing address
325 Distel CirLos Altos, CA 94022-1408
Phone 650-596-4240
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