Individual
ANN REPPUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP RN
Contact information
Practice address
3260 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-4117
(415) 473-4018
Mailing address
3260 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-4117
(415) 473-4018
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
375109
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
11084
CA
Other
Enumeration date
08/31/2006
Last updated
12/28/2010
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