Healthcare Provider Details

I. General information

NPI: 1306993530
Provider Name (Legal Business Name): LOUISE MCNITT MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 05/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ALHAMBRA AVE
MARTINEZ CA
94553-3156
US

IV. Provider business mailing address

597 CENTER AVE SUITE 200A
MARTINEZ CA
94553-4640
US

V. Phone/Fax

Practice location:
  • Phone: 925-313-6740
  • Fax: 925-313-6465
Mailing address:
  • Phone: 925-313-6740
  • Fax: 925-313-6465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA92020
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: