MEDICARE: MS. DEBBIE ANN POSTLETHWAITE RNP

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	363LW0102X	Women's Health Nurse Practitioner	395305	CA

General Provider Information

NPI Number	:	1356334924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBBIE ANN POSTLETHWAITE RNP

Provider Business Mailing Address
First Line	:	1950 FRANKLIN ST FL 19
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-5103
Country	:	US
Telephone Number	:	510-987-3257
Fax Number	:	510-873-5089

Provider Business Practice Location Address
First Line	:	KAISER PERMANENTE MEDICAL OFFICE
Second Line	:	1200 EL CAMINO REAL
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080
Country	:	US
Telephone Number	:	650-301-4643
Fax Number	:

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

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	07/08/2007

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