Organization
STACY R. BISCHOFF, RN, NP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY R BISCHOFF RN, NP (OWNER/NURSE PRACTITIONER)
(415) 456-7906
Entity
Organization
Contact information
Practice address
1368 LINCOLN AVE, SUITE 109, SAN RAFAEL, CA 94901-2147
(415) 454-4325
(415) 454-5440
Mailing address
1 BRACKEN CT, SAN RAFAEL, CA 94901-1587
(415) 456-7906
(415) 456-7991
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2129357
CA
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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