Healthcare Provider Details

I. General information

NPI: 1265570949
Provider Name (Legal Business Name): LAURA ZITELLA N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
STANFORD CA
94305-2200
US

IV. Provider business mailing address

875 BLAKE WILBUR DR MAIL CODE 5820
PALO ALTO CA
94304-2205
US

V. Phone/Fax

Practice location:
  • Phone: 650-498-7127
  • Fax:
Mailing address:
  • Phone: 650-444-2756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP10563
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: