Individual provider · Type 1 NPI
Sandra Jo Domeracki, NP
Family Nurse Practitioner · San Francisco, CA
NPI number
1275778730
Active
Practice location
4150 Clement St, Building 203, GB-31
San Francisco, CA 94121-1545
Fax (415) 750-2249
Mailing address
639 Larkspur Plaza Drive
Larkspur, CA 94939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 434189 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275778730
Sandra Jo Domeracki, NP's National Provider Identifier is 1275778730, issued on Dec 11, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Francisco, CA. The record was last updated on Nov 9, 2016.