Healthcare Provider Details

I. General information

NPI: 1871301713
Provider Name (Legal Business Name): NATALIE M GELLERMAN LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 HAYES ST
SAN FRANCISCO CA
94117-2615
US

IV. Provider business mailing address

890 HAYES ST
SAN FRANCISCO CA
94117-2615
US

V. Phone/Fax

Practice location:
  • Phone: 415-417-4273
  • Fax: 415-795-4798
Mailing address:
  • Phone: 415-417-4273
  • Fax: 415-795-4798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number235974
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: