Provider Demographics
NPI:1720102544
Name:ROBINSON-OSDER, GINA G (NP MSN)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:G
Last Name:ROBINSON-OSDER
Suffix:
Gender:F
Credentials:NP MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 POTRERO AVE # 4J
Mailing Address - Street 2:SFGH URGENT CARE
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-803-8238
Mailing Address - Fax:415-206-8054
Practice Address - Street 1:1001 POTRERO AVE # 4J
Practice Address - Street 2:SFGH URGENT CARE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-803-8238
Practice Address - Fax:415-206-8054
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN425663163WC1500X
CANPF14433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
106419OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
Q30776Medicare UPIN