Provider Demographics
NPI:1447382478
Name:TANG, AUDREY HUI-YU (NP MSN)
Entity Type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:HUI-YU
Last Name:TANG
Suffix:
Gender:F
Credentials:NP MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 POTRERO AVE # 5M
Mailing Address - Street 2:WOMEN'S CLINIC
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-5302
Mailing Address - Fax:415-206-4562
Practice Address - Street 1:1001 POTRERO AVE # 5M
Practice Address - Street 2:WOMEN'S CLINIC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-5302
Practice Address - Fax:415-206-4562
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN623991163WG0000X
CANPF14451363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Not Answered363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
095943OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
095943OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER