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Benjamin Raudabaugh, MSN, RN, AGPCNP-BC — NPI 1699228866, San Francisco, CA | NPI Central

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NPI 1699228866

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Benjamin Raudabaugh, MSN, RN, AGPCNP-BC

NPI 1699228866 · Gerontology Nurse Practitioner · San Francisco, CA

Provider details

NPI number: 1699228866
Entity type: Individual
Primary specialty: Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: MSN, RN, AGPCNP-BC
Sex: Male
Sole proprietor: No
License: 689381 (NY)

Specialties & taxonomies

Gerontology Nurse PractitionerPrimary363LG0600XLicense NP95016956 (CA)
Physician Assistants & Advanced Practice Nursing Providers
Registered Nurse163W00000XLicense 689381 (NY)
Nursing Service Providers
Nurse Practitioner363L00000XLicense F308129 (NY)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

1825 4th St

San Francisco, CA 94143-2350

Phone: (415) 734-8394

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

1825 4th St

San Francisco, CA 94143-2350

Additional practice locations (1)

160 E 34th St
New York, NY 10016
Phone: (212) 731-5445

Registry dates

Enumerated: 2016-07-25
Last updated: 2026-04-27
Certified: 2026-04-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.