MS. Theresia Soetjipto, MS, NP
MS. Theresia Soetjipto, MS, NP is a Nurse Practitioner in San Francisco, California. Qualified in 2011, 15 years ago. Practices with UCSF Medical Group Business Services, a 1,531-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 15
- Licensed in
- CA
- In the registry since
- 2016
What do these letters mean?
Practice location Address checks out
505 Parnassus Ave # M-361 Campus Box 0628San Francisco, CA 94143-2204
Phone: (415) 353-1300
Fax: (415) 353-8570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 21074 (CA) |
|---|
Record details
| NPI number | 1932565181 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , NP |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2016 |
| Last updated in NPPES | January 4, 2016 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Ucsf Medical Group Business Services — 1531 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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