MEDICARE: MS. CLARE IRENE SENCHYNA NP, PA, 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
1	163WM0705X	Medical-Surgical Registered Nurse	RN418863	CA
2	363AM0700X	Medical Physician Assistant	PA17417	CA
3	363LF0000X	Family Nurse Practitioner	NPF8160	CA

General Provider Information

NPI Number	:	1598792251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLARE IRENE SENCHYNA NP, PA, RN

Provider Business Mailing Address
First Line	:	163 PUTNAM ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-6215
Country	:	US
Telephone Number	:	415-821-9142
Fax Number	:

Provider Business Practice Location Address
First Line	:	TOM WADDELL HEALTH CENTER
Second Line	:	50 IVY ST
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-4506
Country	:	US
Telephone Number	:	415-355-7400
Fax Number	:	415-355-7402

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	01/11/2012

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