Healthcare Provider Details

I. General information

NPI: 1467083766
Provider Name (Legal Business Name): JULIANNE M CERELLI NP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2020
Last Update Date: 10/30/2026
Certification Date: 10/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1522 BUSH ST
SAN FRANCISCO CA
94109-5420
US

IV. Provider business mailing address

1522 BUSH ST
SAN FRANCISCO CA
94109-5420
US

V. Phone/Fax

Practice location:
  • Phone: 415-821-1282
  • Fax: 415-821-9047
Mailing address:
  • Phone: 415-821-1282
  • Fax: 415-821-9047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236074
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95012725
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: