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NPI Code Detail

MEDICARE: MAIA MARIE DEHLINGER

MEDICARE: MAIA MARIE DEHLINGER
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
1363L00000XNurse Practitioner13459CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113459OTHERCALICENSE NUMBER

General Provider Information

NPI Number : 1285706390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAIA MARIE DEHLINGER
Provider Business Mailing Address
First Line : 565 ARASTRADERO RD APT 306
Second Line :
City : PALO ALTO
State : CA
Zip : 94306-4323
Country : US
Telephone Number : 650-857-0993
Fax Number :
Provider Business Practice Location Address
First Line : 225 37TH AVE
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-4324
Country : US
Telephone Number : 650-573-2436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 12/30/2021

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