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NPI Code Detail

MEDICARE: SARAH CLUFF RN

MEDICARE:   SARAH  CLUFF  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95038486CA
2364SG0600XGerontology Clinical Nurse SpecialistCNS4530CA

General Provider Information

NPI Number : 1417301581
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH CLUFF RN
Provider Business Mailing Address
First Line : 5417 BELGRAVE PL
Second Line :
City : OAKLAND
State : CA
Zip : 94618-1743
Country : US
Telephone Number : 510-504-5083
Fax Number :
Provider Business Practice Location Address
First Line : 3075 ADELINE ST STE 280
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2580
Country : US
Telephone Number : 510-486-3471
Fax Number : 510-553-2171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2016
Last Update Date : 10/31/2016

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