Healthcare Provider Details

I. General information

NPI: 1477569614
Provider Name (Legal Business Name): KRISTEN ELIZABETH SLIGAR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1647 VALENCIA ST
SAN FRANCISCO CA
94110-5012
US

IV. Provider business mailing address

1647 VALENCIA ST
SAN FRANCISCO CA
94110-5012
US

V. Phone/Fax

Practice location:
  • Phone: 415-647-3666
  • Fax: 415-282-3756
Mailing address:
  • Phone: 415-647-3666
  • Fax: 415-282-3756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number575097
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: