Healthcare Provider Details

I. General information

NPI: 1417246489
Provider Name (Legal Business Name): NANCY SZE WAN WONG RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE FL 4
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

380 CAPISTRANO AVE
SAN FRANCISCO CA
94112-2504
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2421
  • Fax:
Mailing address:
  • Phone: 415-793-6544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP20758
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number751299
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: