Healthcare Provider Details

I. General information

NPI: 1407418510
Provider Name (Legal Business Name): TERESA ZHOU RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2681 28TH AVE
SAN FRANCISCO CA
94116-2912
US

IV. Provider business mailing address

1207 VICENTE ST APT 2
SAN FRANCISCO CA
94116-2965
US

V. Phone/Fax

Practice location:
  • Phone: 415-681-3211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95154744
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: