Duderstadt, Karen G.

Duderstadt, Karen G. is an individual health care provider with primary practice located at 1001 Potrero Ave # 6M Sfgh Children'S Clinic, San Francisco CA 94110-3518. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Nursing Service Providers / Ambulatory Care is her primary health care specialty. Duderstadt, Karen G. can be contacted via phone (415) 206-5908.

Contact Information

Primary practice address
1001 Potrero Ave # 6M Sfgh Children'S Clinic San Francisco CA 94110-3518
Phone: (415) 206-5908
Fax: (415) 753-2161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X RN229710 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NPF3424 California

Profile Details

NPI number 1144347519
LBN Legal business name Duderstadt, Karen G.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144347519 NPPES
Other 030841 SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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