Healthcare Provider Details

I. General information

NPI: 1700913795
Provider Name (Legal Business Name): ANNETTE L. BURNS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 12/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 POTRERO AVE BLDG 80 SFGH FAMILY & COMMUNITY MEDICINE
SAN FRANCISCO CA
94110-2859
US

IV. Provider business mailing address

995 POTRERO AVE BLDG 80 SFGH FAMILY & COMMUNITY MEDICINE
SAN FRANCISCO CA
94110-2859
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-6497
  • Fax: 415-206-5855
Mailing address:
  • Phone: 415-206-6497
  • Fax: 415-206-5855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN322898
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberNPF5052
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: