Doctor Name: | MS. REBECCA MCCONNAUGHY |
NPI Number: | 1093028003 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, NP-C |
License Number: | 19845 |
Business Practice Address: | 795 Willow Rd Building 360, H-216 Menlo Park, CA - 940252539 |
Business Phone Number: | 6504935000 |
Business Fax Number: | 6506149970 |
Mailing Address: | 795 Willow Rd, Building 360, H-216 MENLO PARK |
State: | CA |
Postal Code: | 940252539 |
Phone Number: | 6504935000 |
Fax Number: | 6506149970 |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |