Provider Demographics
NPI:1437375946
Name:RIFFLE, NANCY WEGMANN (RN NP NURSE PRACTITI)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:WEGMANN
Last Name:RIFFLE
Suffix:
Gender:F
Credentials:RN NP NURSE PRACTITI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:935 WILMINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:EMERALD HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:94062
Mailing Address - Country:US
Mailing Address - Phone:650-364-6938
Mailing Address - Fax:
Practice Address - Street 1:1101 WELCH RD
Practice Address - Street 2:A8
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304
Practice Address - Country:US
Practice Address - Phone:650-329-1293
Practice Address - Fax:650-329-1317
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA245604363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health