Individual
DONNA K THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4131 GEARY BLVD, SAN FRANCISCO, CA 94118-3101
(415) 833-2852
(415) 833-2715
Mailing address
4131 GEARY BLVD, SAN FRANCISCO, CA 94118-3101
(415) 833-2852
(415) 833-2715
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
411522
CA
Other
Enumeration date
09/21/2006
Last updated
07/09/2007
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