IndividualActive
Carole Deitrich
NPI 1295827426 · Gerontology Nurse Practitioner · San Francisco, CA
Provider details
- NPI number
- 1295827426
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 176113 (CA)
Practice location
3330 Geary Blvd
2 West, Institute on Aging Assessment Services
San Francisco, CA 94118-3347
Phone: (415) 750-4111
Fax: (415) 750-5341
Mailing address
194 Sussex St
San Francisco, CA 94131-2935
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.