Provider Demographics
NPI:1467497255
Name:NERMAN, MAUD HAIMSON (DO)
Entity Type:Individual
Prefix:DR
First Name:MAUD
Middle Name:HAIMSON
Last Name:NERMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 NOVATO BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-7855
Mailing Address - Country:US
Mailing Address - Phone:415-895-5859
Mailing Address - Fax:
Practice Address - Street 1:1748 NOVATO BLVD STE 100
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94947-7855
Practice Address - Country:US
Practice Address - Phone:415-895-5859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA204797204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM