Healthcare Provider Details

I. General information

NPI: 1033152640
Provider Name (Legal Business Name): SOLVEIG PAYLOR NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 GOOD SAMARITAN DRIVE
SAN JOSE CA
95124
US

IV. Provider business mailing address

121 HARDING AVE
LOS GATOS CA
95030-6304
US

V. Phone/Fax

Practice location:
  • Phone: 408-559-2262
  • Fax:
Mailing address:
  • Phone: 408-356-5743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number535885
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: