MEDICARE: EMMA GRING NP

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
1	363LA2100X	Acute Care Nurse Practitioner	95013082	CA

General Provider Information

NPI Number	:	1558999086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA GRING NP

Provider Business Mailing Address
First Line	:	1643 63RD ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94703-2607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 PARNASSUS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-2722
Country	:	US
Telephone Number	:	415-323-1238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	03/30/2020

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