Provider Demographics
NPI:1831318153
Name:PEIRCE, KATRINA (NP, MSN)
Entity Type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:
Last Name:PEIRCE
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 1:230 GOLDEN GATE AVE
Mailing Address - Street 2:TOM WADDELL URBAN HEALTH CLINIC
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3706
Mailing Address - Country:US
Mailing Address - Phone:415-355-7496
Mailing Address - Fax:415-355-7407
Practice Address - Street 1:230 GOLDEN GATE AVE
Practice Address - Street 2:TOM WADDELL URBAN HEALTH CLINIC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3706
Practice Address - Country:US
Practice Address - Phone:415-355-7496
Practice Address - Fax:415-674-6378
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN494992163WP2201X
CANPF7765363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
047456OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
047456OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER