MEDICARE: ANNETTE ARTACHE DNAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	772637	CA

General Provider Information

NPI Number	:	1275030249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE ARTACHE DNAP

Provider Business Mailing Address
First Line	:	871 46TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-3203
Country	:	US
Telephone Number	:	928-273-8401
Fax Number	:	928-273-8401

Provider Business Practice Location Address
First Line	:	871 46TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-3203
Country	:	US
Telephone Number	:	928-273-8401
Fax Number	:	928-273-8401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2018
Last Update Date	:	04/06/2018

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