Healthcare Provider Details

I. General information

NPI: 1811273972
Provider Name (Legal Business Name): EMILY CHRISTINE FLORES RN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2011
Last Update Date: 09/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 DIVISADERO ST 2ND FLOOR, BOX 1710
SAN FRANCISCO CA
94115-3010
US

IV. Provider business mailing address

3205 ATHERTON CIR
NAPA CA
94558-5407
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7070
  • Fax: 415-353-9898
Mailing address:
  • Phone: 415-353-3405
  • Fax: 415-353-9898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number696972
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number22122
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: