| Doctor Name: | MS. MOIRA OPALKA |
| NPI Number: | 1316015381 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, FNP-C |
| License Number: | 11549 |
| Business Practice Address: | 3 Harbor Dr Suite 115 Sausalito, CA - 949651454 |
| Business Phone Number: | 4153800480 |
| Business Fax Number: | 4153808788 |
| Mailing Address: | 3 Harbor Dr, Suite 115 SAUSALITO |
| State: | CA |
| Postal Code: | 949651454 |
| Phone Number: | 4153800480 |
| Fax Number: | 4153808788 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 05/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 11549 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |