Healthcare Provider Details

I. General information

NPI: 1467594028
Provider Name (Legal Business Name): BARBARA JEAN BURGEL RN, PHD, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 06/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 KORET WAY # N505Y
SAN FRANCISCO CA
94143-0608
US

IV. Provider business mailing address

UCSF SCHOOL OF NURSING
SAN FRANCISCO CA
94143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-4953
  • Fax: 415-476-6042
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN722684-1811
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: