Individual provider · Type 1 NPI

Gwen Omalley, RN

Ambulatory Women's Health Care Registered Nurse · San Rafael, CA

NPI number 1083815005 Active

Practice location

361 3rd St, Suite E
San Rafael, CA 94901-3541

Fax (415) 507-2634

Mailing address

27 Acacia Rd
Fairfax, CA 94930-1502

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Women's Health Care Registered Nurse Primary 163WW0101X278604 (CA)

Ambulatory Women's Health Care Registered Nurse: Definition to come...

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About NPI 1083815005

Gwen Omalley, RN's National Provider Identifier is 1083815005, issued on May 29, 2007. The primary taxonomy on file is Ambulatory Women's Health Care Registered Nurse (163WW0101X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.