Healthcare Provider Details

I. General information

NPI: 1235256603
Provider Name (Legal Business Name): NANETTE M. MADDEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE # 6M5 SFGH CHILDREN'S HEALTH CENTER
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

1001 POTRERO AVE # 6M5 SFGH CHILDREN'S HEALTH CENTER
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-3614
  • Fax: 415-206-6900
Mailing address:
  • Phone: 415-206-3614
  • Fax: 415-206-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN148585
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNPF3603
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License NumberCNS2167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: