Healthcare Provider Details

I. General information

NPI: 1497680672
Provider Name (Legal Business Name): BONNIE YUEN FNP-C, MSN, MN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 NORIEGA ST
SAN FRANCISCO CA
94122-4431
US

IV. Provider business mailing address

1431 NORIEGA ST
SAN FRANCISCO CA
94122-4431
US

V. Phone/Fax

Practice location:
  • Phone: 415-759-3777
  • Fax: 415-759-6368
Mailing address:
  • Phone: 415-759-3777
  • Fax: 415-759-6368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040084
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: