Healthcare Provider Details

I. General information

NPI: 1730237470
Provider Name (Legal Business Name): VERONICA D. ROBERTSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 RANDOLPH ST HIP HOP CLINIC
SAN FRANCISCO CA
94132-3122
US

IV. Provider business mailing address

446 RANDOLPH ST HIP HOP CLINIC
SAN FRANCISCO CA
94132-3122
US

V. Phone/Fax

Practice location:
  • Phone: 415-337-4719
  • Fax: 415-337-4719
Mailing address:
  • Phone: 415-337-4719
  • Fax: 415-337-4719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN385016
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License NumberNPF5344
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: