Provider Demographics
NPI:1396991360
Name:DACE, GENEVIEVE (NP)
Entity type:Individual
Prefix:MS
First Name:GENEVIEVE
Middle Name:
Last Name:DACE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:DACE-RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN,FNP
Mailing Address - Street 1:3814 ARLINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-7013
Mailing Address - Country:US
Mailing Address - Phone:925-623-6094
Mailing Address - Fax:
Practice Address - Street 1:3814 ARLINGTON CIR
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-7013
Practice Address - Country:US
Practice Address - Phone:925-623-6094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care