Healthcare Provider Details
I. General information
NPI: 1457263030
Provider Name (Legal Business Name): HERPATH EDU
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
275 ROSE AVE STE 203
PLEASANTON CA
94566-7069
US
IV. Provider business mailing address
275 ROSE AVE STE 203
PLEASANTON CA
94566-7069
US
V. Phone/Fax
- Phone: 415-935-4827
- Fax:
- Phone: 415-935-4827
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC1600X |
| Taxonomy | Continuing Education/Staff Development Registered Nurse |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WG0000X |
| Taxonomy | General Practice Registered Nurse |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WW0101X |
| Taxonomy | Ambulatory Women's Health Care Registered Nurse |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0003X |
| Taxonomy | Inpatient Obstetric Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MICHELLE
ELLA
Title or Position: OWNER
Credential: RN
Phone: 510-290-8165