Individual
JOAN OMAHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 PARNASSUS AVE, MU WEST, MU-425, BOX 0118, SAN FRANCISCO, CA 94143-2203
(415) 353-1606
(415) 353-1312
Mailing address
513 PARNASSUS AVE UCSF, S-762, SAN FRANCISCO, CA 94143
(650) 255-9619
(415) 353-1498
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15305
NP CA LICENSE
—
Enumeration date
10/21/2008
Last updated
05/08/2019
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