ABIGAIL FAIRLIE BRUCE CARVALHO


Address: 1035 Lincoln Way, San Francisco, CA 94122-2217
Phone: 4159876542

ABIGAIL FAIRLIE BRUCE CARVALHO (NPI# 1548607948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548607948
Entity Type Individual
Full Name ABIGAIL FAIRLIE BRUCE CARVALHO
Credential MS, RN, PHN, ANP
Practice Address 1035 Lincoln Way
San Francisco
CA 94122-2217
Practice Telephone 4159876542
Mailing Telephone 4159876542
Enumeration Date 2013-05-27
Last Update Date 2013-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
23366 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1035 LINCOLN WAY
City SAN FRANCISCO
State CA
Zip Code 94122-2217

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City SAN FRANCISCO
Zip Code 94122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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