Organization
MADRONE CARE NETWORK, AN ADVANCED PRACTICE NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIAMH ISABEL VAN MEINES NP (CEO)
(646) 942-8148
Entity
Organization
Contact information
Practice address
117 BROOKLINE ST, MORAGA, CA 94556-1016
(646) 942-8148
(925) 888-2750
Mailing address
117 BROOKLINE ST, MORAGA, CA 94556-1016
(646) 942-8148
(925) 888-2750
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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