Provider Demographics
NPI:1922149194
Name:RAULET, NAIS M (PA-C)
Entity Type:Individual
Prefix:MS
First Name:NAIS
Middle Name:M
Last Name:RAULET
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 CASTRO ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2482
Mailing Address - Country:US
Mailing Address - Phone:415-575-7500
Mailing Address - Fax:415-575-7503
Practice Address - Street 1:470 CASTRO ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-2482
Practice Address - Country:US
Practice Address - Phone:415-575-7500
Practice Address - Fax:415-575-7503
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA11551363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical