Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | NPF11774 | CA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | NPF11774 | CA |
NPI | 1598882961 |
---|---|
Provider Name | Ms. Natalee Ernstrom |
First Address | San Francisco, CA 94112-3236 |
Second Address | San Francisco, CA 94112-3236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 26/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
068122 | SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER (01) | |
P21890 | (02) |