| NPI | 1275699704 |
|---|---|
| Doing Business As | GERIHEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DEBRA E BAKERJIAN Chief Executive Officer 415-899-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 4924) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 8749) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 8750) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 294) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 11529) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 10022) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 10811) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA 13815) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2009-01-06 |