MRS. MARY ELLEN MANNIX-CANTILLON NP NPI 1629085113

NPI Information

NPI: 1629085113
Provider Name: MRS. MARY ELLEN MANNIX-CANTILLON, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4150 CLEMENT ST
SFVAMC NEUROSURGERY SERVICE (112)
SAN FRANCISCO, CA
ZIP 94121
Phone: (415) 221-4810
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MRS. Mary Ellen Mannix-cantillon, NP is a family nurse practitioner in San Francisco, CA. MRS. Mary Ellen Mannix-cantillon, NP NPI is 1629085113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4150 CLEMENT ST
SFVAMC NEUROSURGERY SERVICE (112)
SAN FRANCISCO, CA
ZIP 94121-545
Phone: (415) 221-4810

The NPI 1629085113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	336318	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	336318	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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