Basic Information
Provider Information
NPI: 1679627202
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRY
FirstName: NATASHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3433 25TH ST
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941103822
CountryCode: US
TelephoneNumber: 4153075419
FaxNumber:  
Practice Location
Address1: 350 HAWTHORNE AVE
Address2: SUITE 2304
City: OAKLAND
State: CA
PostalCode: 946093108
CountryCode: US
TelephoneNumber: 5108698374
FaxNumber: 5108698375
Other Information
ProviderEnumerationDate: 01/22/2007
LastUpdateDate: 09/18/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X21019CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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