Individual
MARY PETROFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
505 PARNASSUS AVE RM M1286, SAN FRANCISCO, CA 94143-2204
(415) 527-8322
(415) 476-0624
Mailing address
505 PARNASSUS AVE RM M1286, SAN FRANCISCO, CA 94143-2204
(415) 527-8322
(415) 476-0624
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP 18337
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP 18337
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437292927
MEDI-CAL
CA
Enumeration date
07/15/2010
Last updated
08/06/2023
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