Most Relevant Information
Provider Data
| NPI Number: | 1003633454 |
| Provider Name: | WILLIAM RUSSEL CARPENTER FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95022651 |
Most Important Dates
| Enumeration Date: | 09/25/2024 |
| Last Updated: | 09/25/2024 |
Provider Practice Location
1001 POTRERO AVE
SAN FRANCISCO
CA
941103594
Practice Location Phone/Fax
| Phone: | 6282068000 |
| Fax: |
Provider Mailing Location
723 44TH AVE
SAN FRANCISCO
CA
941213305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |