Healthcare Provider Details

I. General information

NPI: 1023619442
Provider Name (Legal Business Name): DOLORES JOSEPHINE MEEHAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 VAN NESS AVE STE 304
SAN FRANCISCO CA
94109-3020
US

IV. Provider business mailing address

1350 15TH AVE
SAN FRANCISCO CA
94122-2008
US

V. Phone/Fax

Practice location:
  • Phone: 415-775-1500
  • Fax:
Mailing address:
  • Phone: 415-860-7899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95015805
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95015805
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: