Healthcare Provider Details

I. General information

NPI: 1255718714
Provider Name (Legal Business Name): CELYN CHRISTINE FIGONE RN CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 05/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 CALIFORNIA ST
SAN FRANCISCO CA
94118-1618
US

IV. Provider business mailing address

1729 LAS GALLINAS AVE
SAN RAFAEL CA
94903-1805
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-6388
  • Fax:
Mailing address:
  • Phone: 415-302-3570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number333322
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: