Provider Demographics
NPI:1356334924
Name:POSTLETHWAITE, DEBBIE ANN (RNP)
Entity type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:ANN
Last Name:POSTLETHWAITE
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 FRANKLIN ST FL 19
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-5103
Mailing Address - Country:US
Mailing Address - Phone:510-987-3257
Mailing Address - Fax:510-873-5089
Practice Address - Street 1:KAISER PERMANENTE MEDICAL OFFICE
Practice Address - Street 2:1200 EL CAMINO REAL
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080
Practice Address - Country:US
Practice Address - Phone:650-301-4643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA395305363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP27222Medicare UPIN