Healthcare Provider Details

I. General information

NPI: 1982974382
Provider Name (Legal Business Name): LEA SIMS DURANTE F.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEA SIMS ROSEMURGY

II. Dates (important events)

Enumeration Date: 01/03/2012
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2261 MARKET ST STE 10011
SAN FRANCISCO CA
94114-1612
US

IV. Provider business mailing address

2261 MARKET ST STE 10011
SAN FRANCISCO CA
94114-1612
US

V. Phone/Fax

Practice location:
  • Phone: 707-235-5094
  • Fax:
Mailing address:
  • Phone: 707-235-5094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number21246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: