MEDICARE: SHARON VOGAN DNP, MSN, RN, FNP-BC

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	163W00000X	Registered Nurse	508414	CA
2	363LF0000X	Family Nurse Practitioner	15004	CA

General Provider Information

NPI Number	:	1639177488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON VOGAN DNP, MSN, RN, FNP-BC

Provider Business Mailing Address
First Line	:	513 PARNASSUS AVE
Second Line	:	HSE-574, BOX 0780
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0780
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 SUMMIT ST FL 3
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94609-3412
Country	:	US
Telephone Number	:	510-879-9226
Fax Number	:

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	06/14/2023

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