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Individual

ANJENETTE MORANDA SORAPURU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
400 PARNASSUS AVE FL 8, SAN FRANCISCO, CA 94143-2202
(415) 353-7500
(415) 353-2889
Mailing address
1100 S ELISEO DR STE 1, GREENBRAE, CA 94904-2017
(415) 514-6868

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95023811
CA
363LA2100X
Acute Care Nurse Practitioner
AP07266
LA
363LA2100X
Acute Care Nurse Practitioner
RN218352
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508294810
LA
Enumeration date
10/23/2013
Last updated
05/08/2025
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