Provider Demographics
NPI:1184598039
Name:HANAFI, MEREDITH (373H00000X)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:HANAFI
Suffix:
Gender:F
Credentials:373H00000X
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1615
Mailing Address - Country:US
Mailing Address - Phone:415-473-6789
Mailing Address - Fax:
Practice Address - Street 1:250 BON AIR RD # 1426
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1702
Practice Address - Country:US
Practice Address - Phone:415-473-6789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist