Provider Demographics
NPI:1760851679
Name:DUMONT, VANESSA LYNN (NP)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:LYNN
Last Name:DUMONT
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Gender:F
Credentials:NP
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Mailing Address - Street 1:3801 SACRAMENTO ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1625
Mailing Address - Country:US
Mailing Address - Phone:415-600-1817
Mailing Address - Fax:415-600-1974
Practice Address - Street 1:3801 SACRAMENTO ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1625
Practice Address - Country:US
Practice Address - Phone:415-600-1817
Practice Address - Fax:415-600-1974
Is Sole Proprietor?:No
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
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Provider Licenses
StateLicense IDTaxonomies
CA95002955363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health