Individual
DANIELA WOTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN, NP
Contact information
Practice address
160 CAPP ST, SAN FRANCISCO, CA 94110-1210
(415) 621-8051
Mailing address
160 CAPP ST, SAN FRANCISCO, CA 94110-1210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
683389
CA
363L00000X
Nurse Practitioner
Primary
18335
CA
Other
Enumeration date
06/11/2008
Last updated
07/21/2008
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