Whitney D Bagby, PMHNP
Nurse Practitioner in San Francisco, CA. Individual provider (NPI-1).
NPI number1669989752
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1669989752
- Entity type
- Individual (NPI-1)
- Name
- Whitney D Bagby
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2018
- Certification date
- Jul 26, 2023
- Last updated
- Jul 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95021750 | CA | Yes |
| 163W00000X | Registered Nurse | 95228740 | CA | |
| 172V00000X | Community Health Worker | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95021750 | CA |
Practice location
245 11th StSan Francisco, CA 94103-3732
Phone 415-355-0311
Mailing address
245 11th StSan Francisco, CA 94103-3732
Phone 415-355-0311
Other practice locations
4150 Clement St
San Francisco, CA 94121-1563
San Francisco, CA 94121-1563
Phone 415-221-4810
52 Dore St
San Francisco, CA 94103-3828
San Francisco, CA 94103-3828
Phone 415-861-0828
368 Fell St
San Francisco, CA 94102-5144
San Francisco, CA 94102-5144
Phone 415-861-0828
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