Individual
MISS MICHELLE CHAMBLISS BENRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
329 PRIMROSE RD FL 2, BURLINGAME, CA 94010-4093
(415) 291-0480
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
630519-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
95004549
CA
363LA2200X
Adult Health Nurse Practitioner
F305978
NY
Other
Enumeration date
08/01/2011
Last updated
03/17/2025
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