Basic Information
Provider Information
NPI: 1346639614
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BOOKER
FirstName: BRITTNEE
MiddleName: RA'SHAWN
NamePrefix: MS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2356 SUTTER ST # J-140
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941153006
CountryCode: US
TelephoneNumber: 4158857788
FaxNumber:  
Practice Location
Address1: 2356 SUTTER ST # J-140
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941153006
CountryCode: US
TelephoneNumber: 4158857788
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/09/2015
LastUpdateDate: 04/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X852073CAN Nursing Service ProvidersRegistered Nurse 
363LW0102X95010050CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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