Provider Demographics
NPI:1861240863
Name:MCPARTLAND, NORA ROSE
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:ROSE
Last Name:MCPARTLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1162 COLUSA AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2729
Mailing Address - Country:US
Mailing Address - Phone:510-914-4485
Mailing Address - Fax:
Practice Address - Street 1:1408 LINCOLN AVENUE
Practice Address - Street 2:#8
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901
Practice Address - Country:US
Practice Address - Phone:415-456-7724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program