MEDICARE: NANCEEANN ZANNONE M.S., MFTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	62987	CA

General Provider Information

NPI Number	:	1184939068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCEEANN ZANNONE M.S., MFTI

Provider Business Mailing Address
First Line	:	7128 SARONI DR
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-1421
Country	:	US
Telephone Number	:	415-425-9593
Fax Number	:

Provider Business Practice Location Address
First Line	:	823 EUCLID AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-2510
Country	:	US
Telephone Number	:	415-221-6825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	08/16/2010

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