Healthcare Provider Details

I. General information

NPI: 1699767483
Provider Name (Legal Business Name): ADELE EVA SZILARDI CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 12/30/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 COLLEGE AVE
BERKELEY CA
94704-3407
US

IV. Provider business mailing address

2626 COLLEGE AVE
BERKELEY CA
94704-3407
US

V. Phone/Fax

Practice location:
  • Phone: 510-548-0956
  • Fax:
Mailing address:
  • Phone: 510-548-0956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number15913
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: