Healthcare Provider Details

I. General information

NPI: 1427823533
Provider Name (Legal Business Name): SARAH MARIA MENENDEZ NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 4TH ST
SAN FRANCISCO CA
94143-2351
US

IV. Provider business mailing address

948 NAPLES ST
SAN FRANCISCO CA
94112-3830
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1036
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number95027859
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number95027859
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: