GWEN OMALLEY RN NPI 1083815005

NPI Information

NPI: 1083815005
Provider Name: GWEN OMALLEY, RN
Classification: Registered Nurse - 163WW0101X
Entity Type: Individual

Specialization: Women's Health Care, Ambulatory

Address:
361 3RD ST
SUITE E
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 507-4030
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Gwen Omalley, RN is a women's health care and ambulatory registered nurse in San Rafael, CA. Gwen Omalley, RN NPI is 1083815005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

361 3RD ST
SUITE E
SAN RAFAEL, CA
ZIP 94901-541
Phone: (415) 507-4030
Fax: (415) 507-2634

The enumeration date for this NPI number is 5/29/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	278604	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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