Individual provider · NPI-1

Desiree Agosto

Nurse Practitioner, Family · Walnut Creek, CA

NPI number1235907197
StatusActive
Last updated in NPPESMar 8, 2024

Details

NPI
1235907197
Entity type
Individual (NPI-1)
Name
Desiree Agosto
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2023
Certification date
Mar 8, 2024
Last updated
Mar 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95029269CAYes

Practice location

2625 Shadelands Dr
Walnut Creek, CA 94598-2512

Phone 925-939-8585

Mailing address

Po Box 31396
Walnut Creek, CA 94598-8396

Phone 925-939-8585

Other practice locations

2405 Shadelands Dr Ste 300
Walnut Creek, CA 94598-5906

Phone 925-939-8585

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