Individual provider · Type 1 NPI
Erica F. Southworth, NP
Pediatric Nurse Practitioner · San Francisco, CA
NPI number
1730368960
Active
Practice location
505 Parnassus Ave
San Francisco, CA 94143-2204
Mailing address
3621 S State St, 700 Kms Place
Ann Arbor, MI 48108
Other practice locations
- 1500 E Medical Center Drive, 4th Floor Cs Mott Childrens Hoapital, Ann Arbor, MI 48109-4217 · (734) 764-4151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 647986 (CA) |
| Nurse Practitioner | 363L00000X | 4704287358 (MI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 15497 (CA) |
| Pediatric Nurse Practitioner | 363LP0200X | 4704287358 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1730368960
Erica F. Southworth, NP's National Provider Identifier is 1730368960, issued on Oct 24, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Francisco, CA. The record was last updated on Jul 21, 2022.