Provider Demographics
NPI:1922090422
Name:PRINS, ALBERTINA MARIA (NP)
Entity Type:Individual
Prefix:
First Name:ALBERTINA
Middle Name:MARIA
Last Name:PRINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103
Mailing Address - Country:US
Mailing Address - Phone:415-487-5595
Mailing Address - Fax:415-437-9231
Practice Address - Street 1:356 7TH STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103
Practice Address - Country:US
Practice Address - Phone:415-487-5595
Practice Address - Fax:415-437-9231
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP12041 RN 546704363LF0000X
CA12041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0RN5467040Medicaid
P88583Medicare UPIN
CA0RN5467040Medicaid
222261062Medicare ID - Type UnspecifiedIND