Healthcare Provider Details

I. General information

NPI: 1609416593
Provider Name (Legal Business Name): RACHEL BRINITZER RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2020
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 OFARRELL ST STE 190
SAN MATEO CA
94403-1372
US

IV. Provider business mailing address

3967 MISSION ST APT 2
SAN FRANCISCO CA
94112-1029
US

V. Phone/Fax

Practice location:
  • Phone: 650-306-9490
  • Fax:
Mailing address:
  • Phone: 916-595-4324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95013456
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: