Healthcare Provider Details

I. General information

NPI: 1740289149
Provider Name (Legal Business Name): NANCY A TRAHMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 SIR FRANCIS DRAKE BLVD STE 304
GREENBRAE CA
94904-1712
US

IV. Provider business mailing address

599 SIR FRANCIS DRAKE BLVD STE 304
GREENBRAE CA
94904-1712
US

V. Phone/Fax

Practice location:
  • Phone: 415-461-9200
  • Fax: 415-435-9700
Mailing address:
  • Phone: 415-461-9200
  • Fax: 415-435-9700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC28110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: