Healthcare Provider Details

I. General information

NPI: 1629940788
Provider Name (Legal Business Name): VERONIQUE ISABELLA MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 09/19/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 CARROLL AVE
SAN FRANCISCO CA
94124-3219
US

IV. Provider business mailing address

1625 CARROLL AVE
SAN FRANCISCO CA
94124-3219
US

V. Phone/Fax

Practice location:
  • Phone: 415-468-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95424314
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: