Individual
CEDRIC D. THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 624-7382
Mailing address
695 JOHN MUIR DR APT F710, SAN FRANCISCO, CA 94132-6199
(404) 922-1965
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN232235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN232235
ADVANCED PRACTICE LICENSE
GA
Enumeration date
11/28/2017
Last updated
06/16/2018
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