Healthcare Provider Details

I. General information

NPI: 1619458072
Provider Name (Legal Business Name): BRIANNE ELIZABETH GEBHARDT DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNE ELIZABETH OWENS BSN, RN

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
STANFORD CA
94305-2200
US

IV. Provider business mailing address

44 SAMOSET ST
SAN FRANCISCO CA
94110-5346
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-4000
  • Fax:
Mailing address:
  • Phone: 812-620-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number849851
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95009805
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: