Provider Demographics
NPI:1194289132
Name:SCHLEGEL, CHIARA (FNP)
Entity type:Individual
Prefix:
First Name:CHIARA
Middle Name:
Last Name:SCHLEGEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GREEN POINT LN
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-2709
Mailing Address - Country:US
Mailing Address - Phone:415-847-4078
Mailing Address - Fax:
Practice Address - Street 1:239 MILLER AVE STE 8
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2866
Practice Address - Country:US
Practice Address - Phone:415-730-4235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily