Bernadette Marie Corpuz Abadilla, RN

Individual provider Active NPI Registered Nurse · Millbrae, CA

NPI 1154970697 · NPPES record last updated Sep 7, 2019

Key facts

NPI
1154970697
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
95174769 (CA)
Practice address
1437 Gavilan Way
Millbrae, CA 94030-2843
Phone
(650) 892-1302
NPI assigned
Sep 7, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95174769CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95174769 CA Yes

Addresses

Primary practice location

1437 Gavilan Way
Millbrae, CA 94030-2843

Mailing address

1437 Gavilan Way
Millbrae, CA 94030-2843
Phone (650) 892-1302

Other providers in Millbrae, CA

All providers in Millbrae, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.