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Individual

MS. DAWN SURRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3850 17TH ST, SAN FRANCISCO, CA 94114-2031
(628) 217-5700
Mailing address
976 COLLIER DR, SAN LEANDRO, CA 94577-3820
(510) 735-5801

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005079
CA
363LP2300X
Primary Care Nurse Practitioner
95005079
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689863516
CA
01
95005079
CALIFORNIA BOARD OF REGISTERED NURSES-NP FURNISHING
CA
Enumeration date
02/01/2017
Last updated
04/24/2025
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