Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | NPF5344 | CA |
NPI | 1730237470 |
---|---|
Provider Name | Ms. Veronica D. Robertson |
First Address | San Francisco, CA 94132-3122 |
Second Address | San Francisco, CA 94132-3122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
052084 | SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER (01) | |
P84145 | (02) |