Provider Demographics
NPI:1841401908
Name:TSAO, STEPHANIE (RN, NP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:TSAO
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:DIV. OF PULMONARY & CRITICAL CARE MED ROOM 5K1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:510-304-8458
Mailing Address - Fax:415-695-1561
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:DIV. OF PULMONARY & CRITICAL CARE MED ROOM 5K1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:510-304-8458
Practice Address - Fax:415-695-1561
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA605858363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q65043Medicare UPIN