Healthcare Provider Details

I. General information

NPI: 1477718161
Provider Name (Legal Business Name): DEBRA JEAN HUMMEL NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCSF CHILDRENS HOSPITAL 505 PARNASSUS AVENUE
SAN FRANCISCO CA
94143-0001
US

IV. Provider business mailing address

6040 VALLEY VIEW RD
OAKLAND CA
94611-2026
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1565
  • Fax:
Mailing address:
  • Phone: 510-339-2611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number6540
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: