Healthcare Provider Details

I. General information

NPI: 1205156072
Provider Name (Legal Business Name): PAMELA DIANNE ORLANDI-MAURER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E WILLIAM ST
SAN JOSE CA
95112-2250
US

IV. Provider business mailing address

650 E WILLIAM ST
SAN JOSE CA
95112-2250
US

V. Phone/Fax

Practice location:
  • Phone: 408-813-4341
  • Fax:
Mailing address:
  • Phone: 408-813-4341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number417754
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number417754
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number417754
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number417754
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number417754
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: