Healthcare Provider Details

I. General information

NPI: 1336450956
Provider Name (Legal Business Name): FABIENNE HOLLINGER RN, MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE # M647
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

505 PARNASSUS AVE # M647
SAN FRANCISCO CA
94143-2204
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-0238
  • Fax: 415-476-9068
Mailing address:
  • Phone: 415-514-0238
  • Fax: 415-476-9068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: