Healthcare Provider Details

I. General information

NPI: 1790835122
Provider Name (Legal Business Name): DAWN MICHELLE NANCE RN, MS, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POLK ST 2ND FLOOR
SAN FRANCISCO CA
94109-6915
US

IV. Provider business mailing address

1001 POLK ST 2ND FLOOR
SAN FRANCISCO CA
94109-6915
US

V. Phone/Fax

Practice location:
  • Phone: 415-345-9451
  • Fax:
Mailing address:
  • Phone: 415-345-9451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number640421
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number16788
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: