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General NPI Number Information
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NPI Number | 1194952218
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Entity Type | Individual
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Provider Name | SAM USTRZYNSKI DNP, FNP-C, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 09/01/2024
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Provider Practice Location Address
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Address Line | 513 PARNASSUS AVE # S458
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2205
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Country | US
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Telephone | 155-148-7964
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Fax |
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Provider Business Mailing Address
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Address Line | 513 PARNASSUS AVE # S458
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2205
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Country | US
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Telephone | 155-148-7964
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 715183
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 715183
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 20405
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 20405
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20405
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 20405
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 20405
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License Number State | CA
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