Healthcare Provider Details

I. General information

NPI: 1417810110
Provider Name (Legal Business Name): ANZHELA BAYARD DE VOLO RN, BSN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANZHELA RUDENKO

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1053 PARK AVE
SAN JOSE CA
95126-3026
US

IV. Provider business mailing address

435 SARATOGA AVE
SANTA CLARA CA
95050-6434
US

V. Phone/Fax

Practice location:
  • Phone: 408-806-4633
  • Fax:
Mailing address:
  • Phone: 408-423-4320
  • Fax: 408-423-4320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number95137887
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: