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NPI Code Detail

MEDICARE: MICHELLE C DEFLORIMONTE FNP

MEDICARE: MICHELLE C DEFLORIMONTE FNP
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
1363LF0000XFamily Nurse Practitioner95006597CA
2363L00000XNurse Practitioner95006597CA
3363LF0000XFamily Nurse PractitionerAPRN3393982FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295255826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE C DEFLORIMONTE FNP
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number : 415-520-0904
Provider Business Practice Location Address
First Line : 402 W BROADWAY STE 400
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-3554
Country : US
Telephone Number : 407-920-0785
Fax Number : 352-716-7611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2017
Last Update Date : 06/23/2026

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