MEDICARE: DR. EMILY ANN CALABRETTA FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	209032633	IL
2	363LF0000X	Family Nurse Practitioner	95034083	CA

General Provider Information

NPI Number	:	1558167486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY ANN CALABRETTA FNP-BC

Provider Business Mailing Address
First Line	:	2580 W EL CAMINO REAL STE 6
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-1308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2580 W EL CAMINO REAL STE 6
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-1308
Country	:	US
Telephone Number	:	650-265-4166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2025
Last Update Date	:	01/26/2026

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