Individual
ANNA S MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 PARNASSUS AVE FL 4, SAN FRANCISCO, CA 94143-2202
(415) 353-2421
Mailing address
490 ILLINOIS ST, SAN FRANCISCO, CA 94143-2510
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
95136715
CA
363L00000X
Nurse Practitioner
95015329
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
NP95015329
CA
Other
Enumeration date
04/29/2020
Last updated
04/24/2026
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