Individual provider · Type 1 NPI

Benjamin Gordon Vaillancourt, RN, BSN

Registered Nurse · San Francisco, CA

NPI number 1669979902 Active

Practice location

4150 Clement St
San Francisco, CA 94121-1563

Call (510) 701-5042 Map

Mailing address

551 W Grand Ave Apt 20
Oakland, CA 94612-1661

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X813962 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1669979902

Benjamin Gordon Vaillancourt, RN, BSN's National Provider Identifier is 1669979902, issued on Apr 12, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Francisco, CA. The record was last updated on Apr 12, 2018.