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Ms. Miranda E. Surjadi, NPMS
Acute Care Nurse Practitioner in San Francisco, California
NPI 1548384365

Miranda E. Surjadi is an Acute Care Nurse Practitioner based in San Francisco, CA and is specialized in Acute Care. Miranda E. Surjadi practices in San Francisco, CA and has the professional credentials of NPMS. The NPI Number for Miranda E. Surjadi is 1548384365 and holds a License No. RN546712 (California).

The current practice location address for Miranda E. Surjadi is 1001 Potrero Ave # 3D7, San Francisco, CA and can be reached out via phone at 415-206-4776 and via fax at 415-206-5199.

Location: 1001 Potrero Ave # 3D7, San Francisco, CA, 94110-3518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548384365
Provider Name
Miranda E. Surjadi
Credential
NPMS
Provider Entity Type
Individual
Gender
Female
Address
1001 Potrero Ave # 3D7, San Francisco, CA, 94110-3518
Phone Number
415-206-4776
Fax Number
415-206-5199
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
117390 01 SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
1001 Potrero Ave # 3D7
City
San Francisco
State
California
Zip
94110-3518
Phone Number
415-206-4776
Fax Number
415-206-5199
person
Provider Business Mailing Address Details
Address
1001 Potrero Ave # 3D7
City
San Francisco
State
California
Zip
94110-3518
Phone Number
415-206-4776
Fax Number
415-206-5199
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Gastroenterology
Taxonomy
163WG0100X
License No.
NPF11790 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
RN546712 (California)
Definition
Definition to come...
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