Healthcare Provider Details

I. General information

NPI: 1194552869
Provider Name (Legal Business Name): SAVANA DOBYNS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAVANA DOBYNS CARAMAGNO

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
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

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

V. Phone/Fax

Practice location:
  • Phone: 415-476-4965
  • Fax:
Mailing address:
  • Phone: 415-476-4965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95032146
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: