Healthcare Provider Details

I. General information

NPI: 1447324355
Provider Name (Legal Business Name): ANNE ELIZABETH PARKER NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 VAN NESS AVE
SAN FRANCISCO CA
94109-6919
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-6211
  • Fax: 415-447-6356
Mailing address:
  • Phone: 415-600-6211
  • Fax: 415-447-6356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number348648
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: