Doctor Name: | NATALYA MALYUGA |
NPI Number: | 1003185992 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | 639386 |
Business Practice Address: | 1101 Capp St San Francisco, CA - 941104697 |
Business Phone Number: | 4158411427 |
Business Fax Number: | |
Mailing Address: | 1101 Capp St, SAN FRANCISCO |
State: | CA |
Postal Code: | 941104697 |
Phone Number: | 4158411427 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2011 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 639386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |