Healthcare Provider Details

I. General information

NPI: 1285714030
Provider Name (Legal Business Name): ANA B POSADA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 12/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 KERNER BLVD
SAN RAFAEL CA
94901-4861
US

IV. Provider business mailing address

107 CORTE MESA AVE
SAN RAFAEL CA
94901-1303
US

V. Phone/Fax

Practice location:
  • Phone: 415-473-4022
  • Fax: 415-473-4400
Mailing address:
  • Phone: 415-473-4022
  • Fax: 415-473-4400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number557176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: