Healthcare Provider Details

I. General information

NPI: 1780364786
Provider Name (Legal Business Name): ANNA PHILLIPPI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 TURK ST
SAN FRANCISCO CA
94102-3329
US

IV. Provider business mailing address

433 TURK ST
SAN FRANCISCO CA
94102-3329
US

V. Phone/Fax

Practice location:
  • Phone: 415-678-6535
  • Fax:
Mailing address:
  • Phone: 415-928-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number759371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: