IndividualActive
Gwen Omalley, RN
NPI 1083815005 · Ambulatory Women's Health Care Registered Nurse · San Rafael, CA
Provider details
- NPI number
- 1083815005
- Entity type
- Individual
- Primary specialty
- Ambulatory Women's Health Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 278604 (CA)
Practice location
361 3rd St
Suite E
San Rafael, CA 94901-3541
Phone: (415) 507-4030
Fax: (415) 507-2634
Mailing address
27 Acacia Rd
Fairfax, CA 94930-1502
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.