Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 95007902 | CA |
NPI | 1013420868 |
---|---|
Provider Name | Sara Emily Neff Minahan |
First Address | Oakland, CA 94602-1018 |
Second Address | Oakland, CA 94602-1018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2017 |
Last Update Date | 09/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
235916 | NMW LICENSE (01) | CA |
95007902 | WHNP LICENSE (01) | CA |
95066396 | RN LICENSE (01) | CA |