NPI Code Details Logo

NPI 1568777308

NPI 1568777308 : LESHA RUTH MCPEAK ACNP : SAN FRANCISCO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568777308
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LESHA RUTH MCPEAK ACNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/17/2010
-----------------------------------------------------
    Last Update Date     |    06/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5767 MISSION ST 
-----------------------------------------------------
    City                 |    SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94112-4208
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-584-3294
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    601 VAN NESS AVE STE E3619 
-----------------------------------------------------
    City                 |    SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94102-3200
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-531-9047
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LA2100X
-----------------------------------------------------
    Taxonomy Name        |    Acute Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    20025
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.