Healthcare Provider Details

I. General information

NPI: 1689713240
Provider Name (Legal Business Name): PAULA JEAN CAHILL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 PHELAN AVE HC 100
SAN FRANCISCO CA
94112-1821
US

IV. Provider business mailing address

1089 CRESPI DR
PACIFICA CA
94044-3514
US

V. Phone/Fax

Practice location:
  • Phone: 415-239-3110
  • Fax: 415-239-3193
Mailing address:
  • Phone: 650-355-7560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number331219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: