Healthcare Provider Details

I. General information

NPI: 1639291149
Provider Name (Legal Business Name): KATHLEEN MARIE LENIHAN RN, CNS, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

2755 40TH AVE
SAN FRANCISCO CA
94116-2707
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1758
  • Fax: 415-353-1784
Mailing address:
  • Phone: 415-753-6916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number225004
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: