Healthcare Provider Details

I. General information

NPI: 1699964163
Provider Name (Legal Business Name): KATHERINE MARY ONSTOTT C.N.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 HOSPITAL PARKWAY SANTA TERESA COMMUNITY HOSPITAL, SUITE 860
SAN JOSE CA
95119
US

IV. Provider business mailing address

275 HOSPITAL PARKWAY SANTA TERESA COMMUNITY HOSPITAL, SUITE 860
SAN JOSE CA
95119
US

V. Phone/Fax

Practice location:
  • Phone: 408-972-6301
  • Fax: 408-972-6759
Mailing address:
  • Phone: 408-972-6301
  • Fax: 408-972-6759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number2801
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: