Individual
LAURA Y AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5730 TELEGRAPH AVE # 117, OAKLAND, CA 94609-1710
(510) 570-3500
(415) 369-1384
Mailing address
PO BOX 60000 # 74010, SAN FRANCISCO, CA 94160-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
620426
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
14685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP14685
CA STATE LICENSE
CA
Enumeration date
12/26/2006
Last updated
04/03/2024
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