JENIFER J TANTARELLI FNP NPI 1972767739

NPI Information

NPI: 1972767739
Provider Name: JENIFER J TANTARELLI, FNP
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Individual

Specialization: Family Health

Organization: PROVIDENCE MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
1154 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405
Phone: (707) 547-4611
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Jenifer J Tantarelli, FNP is a family health clinical nurse specialist in Santa Rosa, CA with 17 years of experience. Jenifer J Tantarelli, FNP NPI is 1972767739. 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:

1154 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405-816
Phone: (707) 547-4611
Fax: (707) 522-1202

The NPI 1972767739 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 7/10/2008 and was last updated on 6/18/2012.

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	364SF0001X	Clinical Nurse Specialist	Family Health	NP 17620	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: 11/14/2023

NPI Synchronization or Removal

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