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NPI Code Detail

MEDICARE: NERRISA NAM

MEDICARE: NERRISA NAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1215318290
Entity Type Code : Individual
Provider Name (Legal Business Name) : NERRISA NAM
Provider Business Mailing Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 408-483-2606
Fax Number :
Provider Business Practice Location Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 408-483-1762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2015
Last Update Date : 01/23/2026

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Directions to “ NERRISA NAM ” Practice Location

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