Individual
ANNE DEBORAH RISHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPF
Contact information
Practice address
2500 FAIRMONT DR, SAN LEANDRO, CA 94578-1005
(510) 667-4931
(510) 483-2369
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPF8608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-1975
FQHC MEDICARE PART A
CA
05
—
FHC71021F
—
CA
01
—
HAP71021F
FPACT
CA
01
—
ZZZ29799Z
FQHC MEDICARE PART B
CA
Enumeration date
09/06/2006
Last updated
03/12/2013
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