Healthcare Provider Details

I. General information

NPI: 1710036108
Provider Name (Legal Business Name): LAURA J. MCCARTHY NP MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1050 WISCONSIN ST POTRERO HILL HEALTH CTR.
SAN FRANCISCO CA
94107-3328
US

IV. Provider business mailing address

1050 WISCONSIN ST POTRERO HILL HEALTH CTR.
SAN FRANCISCO CA
94107-3328
US

V. Phone/Fax

Practice location:
  • Phone: 415-920-1250
  • Fax: 415-550-1639
Mailing address:
  • Phone: 415-920-1250
  • Fax: 415-550-1639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN308585
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberNPF1229
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: