LIESL FLORA PICCOLO RN LM CPM PHN FNP-C NPI 1912338450

NPI Information

NPI: 1912338450
Provider Name: LIESL FLORA PICCOLO, RN LM CPM PHN FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
837 ADDISON ST
BERKELEY, CA
ZIP 94710
Phone: (510) 941-4100
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Liesl Flora Piccolo, RN LM CPM PHN FNP-C is a family nurse practitioner in Berkeley, CA with 2 years of experience. Liesl Flora Piccolo, RN LM CPM PHN FNP-C NPI is 1912338450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

837 ADDISON ST
BERKELEY, CA
ZIP 94710-047
Phone: (510) 941-4100

The NPI 1912338450 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 12/10/2013 and was last updated on 7/26/2022.

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	176B00000X	Midwife		LM 345	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95022010	CALIFORNIA	Yes
3	163W00000X	Registered Nurse		RN95229608	CALIFORNIA	No

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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