Provider Demographics
NPI:1457432098
Name:MACH, NANCY (ND)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:MACH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 HAYES ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4481
Mailing Address - Country:US
Mailing Address - Phone:415-707-9998
Mailing Address - Fax:
Practice Address - Street 1:364 HAYES ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4481
Practice Address - Country:US
Practice Address - Phone:415-707-9998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND739175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath