Maki Matsumura
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1510 4th St Suite 1
Berkeley
, California 94710-1717
Maki Matsumura
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1510 4th St Suite 1
Berkeley
, California 94710-1717
(858) 337-7770
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Maki Matsumura
- 1510 4th St Suite 1
- Berkeley, CA
- Zip : 94710-1717
- Phone : (858) 337-7770
Second Address
- Maki Matsumura
- 1510 4th St Suite 1
- Berkeley, CA
- Zip : 94710-1717
- Phone : (858) 337-7770
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What type of doctor is Maki Matsumura
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Is Maki Matsumura a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 95001105 | CA |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 95001105 | CA |
National Provider Identifier
| NPI | 1013316488 |
|---|---|
| Provider Name | Maki Matsumura |
| First Address | Berkeley, CA 94710-1717 |
| Second Address | Berkeley, CA 94710-1717 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2014 |
| Last Update Date | 21/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.