Provider Demographics
NPI:1023009107
Name:GELERA, MARY ANN SARREAL (NP)
Entity type:Individual
Prefix:MRS
First Name:MARY ANN
Middle Name:SARREAL
Last Name:GELERA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2385 CARTER LN
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5216
Mailing Address - Country:US
Mailing Address - Phone:510-886-2693
Mailing Address - Fax:510-667-3933
Practice Address - Street 1:516 WILLOW ST
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-6132
Practice Address - Country:US
Practice Address - Phone:510-714-8097
Practice Address - Fax:510-667-3933
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-29
Last Update Date:2012-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CANP11544363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner