BRENDA ADELE TAFOLLA NPI 1487275327

NPI Information

NPI: 1487275327
Provider Name: BRENDA ADELE TAFOLLA
Classification: Clinic/Center - 261QM2800X
Entity Type: Individual

Specialization: Methadone

Address:
625 STEELE LN
SANTA ROSA, CA
ZIP 95403
Phone: (707) 576-0818
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Brenda Adele Tafolla is a methadone clinic center in Santa Rosa, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. Brenda Adele Tafolla NPI is 1487275327. 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:

625 STEELE LN
SANTA ROSA, CA
ZIP 95403-127
Phone: (707) 576-0818
Fax: (707) 576-7845

The enumeration date for this NPI number is 5/1/2020 and was last updated on 5/1/2020.

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	261QM2800X	Clinic/Center	Methadone	49-02	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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