MAYA FAN PROTTER MSN RN FNP NPI 1629628037

NPI Information

NPI: 1629628037
Provider Name: MAYA FAN PROTTER, MSN, RN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1501 TROUSDALE DR
BURLINGAME, CA
ZIP 94010
Phone: (650) 652-8500
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Maya Fan Protter, MSN, RN, FNP is a family nurse practitioner in Burlingame, CA with 5 years of experience. Maya Fan Protter, MSN, RN, FNP NPI is 1629628037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

1501 TROUSDALE DR
BURLINGAME, CA
ZIP 94010-506
Phone: (650) 652-8500

The NPI 1629628037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2019 and was last updated on 1/25/2021.

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	163W00000X	Registered Nurse		95137055	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95012567	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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