Most Relevant Information
Provider Data
NPI Number: | 1003300757 |
Provider Name: | MOENSANIA CARISA PHILLIPS NURSE PRACTITIONER |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 95020247 |
Most Important Dates
Enumeration Date: | 06/17/2018 |
Last Updated: | 10/20/2022 |
Provider Practice Location
2 EMBARCADERO CTR LBBY LEVEL
SAN FRANCISCO
CA
941113823
Practice Location Phone/Fax
Phone: | 8886636331 |
Fax: |
Provider Mailing Location
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO
CA
941113723
Provider Mailing Phone/Fax
Phone: | 4156586791 |
Fax: |