Individual
AVERY SARAH MANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
559 CLAY ST FL 2, SAN FRANCISCO, CA 94111-3029
(888) 663-6331
(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
163WC1500X
Community Health Registered Nurse
95246073
CA
363L00000X
Nurse Practitioner
Primary
95026760
CA
363LF0000X
Family Nurse Practitioner
95026760
CA
Other
Enumeration date
05/24/2021
Last updated
04/11/2024
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