Provider Demographics
NPI:1033095740
Name:CHIARELLA REDFERN, CHARLOTTE (PNP-PC)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:CHIARELLA REDFERN
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 DIAMOND ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-1826
Mailing Address - Country:US
Mailing Address - Phone:669-272-4004
Mailing Address - Fax:
Practice Address - Street 1:3838 CALIFORNIA ST RM 111
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1504
Practice Address - Country:US
Practice Address - Phone:415-502-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035702363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics