Healthcare Provider Details

I. General information

NPI: 1497661565
Provider Name (Legal Business Name): ELIZABETH ACH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 MISSION ST FL 5
SAN FRANCISCO CA
94103-2543
US

IV. Provider business mailing address

833 ASHBURY ST APT 6
SAN FRANCISCO CA
94117-4465
US

V. Phone/Fax

Practice location:
  • Phone: 415-762-3700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95041009
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: