Healthcare Provider Details

I. General information

NPI: 1558167486
Provider Name (Legal Business Name): EMILY CALABRETTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PASTEUR DR RM P381
PALO ALTO CA
94304-1048
US

IV. Provider business mailing address

300 PASTEUR DR
PALO ALTO CA
94305-2200
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-7857
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95034083
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209032633
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: