Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 95018166 | CA |
NPI | 1003586363 |
---|---|
Provider Name | Karen Merzenich |
First Address | San Francisco, CA 94121-1022 |
Second Address | Napa, CA 94559-4078 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2021 |
Last Update Date | 17/09/2021 |