Healthcare Provider Details

I. General information

NPI: 1609944974
Provider Name (Legal Business Name): IRENE FLORES RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WEBSTER ST SUITE 427
SAN FRANCISCO CA
94115-2373
US

IV. Provider business mailing address

2100 WEBSTER ST SUITE 427
SAN FRANCISCO CA
94115-2373
US

V. Phone/Fax

Practice location:
  • Phone: 415-923-3128
  • Fax: 415-885-5981
Mailing address:
  • Phone: 415-923-3128
  • Fax: 415-885-5981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number217793
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: