Provider Demographics
NPI:1710036108
Name:MCCARTHY, LAURA J (NP MSN)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:J
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:NP MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 WISCONSIN ST
Mailing Address - Street 2:POTRERO HILL HEALTH CTR.
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-3328
Mailing Address - Country:US
Mailing Address - Phone:415-920-1250
Mailing Address - Fax:415-550-1639
Practice Address - Street 1:1050 WISCONSIN ST
Practice Address - Street 2:POTRERO HILL HEALTH CTR.
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-3328
Practice Address - Country:US
Practice Address - Phone:415-920-1250
Practice Address - Fax:415-550-1639
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN308585163WP2201X
CANPF1229363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Not Answered363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
032854OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
032854OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER