Healthcare Provider Details

I. General information

NPI: 1528876612
Provider Name (Legal Business Name): KATHRYN S. JARAMILLO MSN RN CNS-BC AACC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYE JARAMILLO MS RN CNS-BC AACC

II. Dates (important events)

Enumeration Date: 12/21/2024
Last Update Date: 12/21/2024
Certification Date: 12/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 GRANT RD
MOUNTAIN VIEW CA
94040-4302
US

IV. Provider business mailing address

170 JORDAN CT
MOUNTAIN VIEW CA
94043-5294
US

V. Phone/Fax

Practice location:
  • Phone: 650-940-7000
  • Fax: 650-988-7870
Mailing address:
  • Phone: 408-712-5887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number3025
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number3025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: