Provider Demographics
NPI:1750573705
Name:KITAGAWA-MAH, KATHERINE MIDORI (RN, NP, CNS)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MIDORI
Last Name:KITAGAWA-MAH
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Gender:F
Credentials:RN, NP, CNS
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Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:RM. 2A26
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-8911
Mailing Address - Fax:
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:RM. 2A26
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-8911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
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Provider Licenses
StateLicense IDTaxonomies
CA3087363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health