Doctor Name: | DR. ELIZABETH MARLOW |
NPI Number: | 1003057365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, C-FNP |
License Number: | 527334 |
Business Practice Address: | 425 Bryant Street San Francisco, CA - 941071302 |
Business Phone Number: | 4155754326 |
Business Fax Number: | 4155754326 |
Mailing Address: | 425 Bryant St, SAN FRANCISCO |
State: | CA |
Postal Code: | 941071302 |
Phone Number: | 4155754326 |
Fax Number: | 4155754326 |
NPI Enumeration Date: | 03/17/2009 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 527334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |