Provider Demographics
NPI:1598792251
Name:SENCHYNA, CLARE IRENE (NP, PA, RN)
Entity Type:Individual
Prefix:MS
First Name:CLARE
Middle Name:IRENE
Last Name:SENCHYNA
Suffix:
Gender:M
Credentials:NP, PA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 PUTNAM ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-6215
Mailing Address - Country:US
Mailing Address - Phone:415-821-9142
Mailing Address - Fax:
Practice Address - Street 1:TOM WADDELL HEALTH CENTER
Practice Address - Street 2:50 IVY ST
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4506
Practice Address - Country:US
Practice Address - Phone:415-355-7400
Practice Address - Fax:415-355-7402
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN418863163WM0705X
CAPA17417363AM0700X
CANPF8160363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ63452Medicare UPIN
CA0PA174170Medicare PIN