Healthcare Provider Details

I. General information

NPI: 1366496945
Provider Name (Legal Business Name): LIZBETH C. FLORES-BYRNE RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LIZBETH C. FLORES

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR H-3630
STANFORD CA
94305-2200
US

IV. Provider business mailing address

300 PASTEUR DR
PALO ALTO CA
94305-2200
US

V. Phone/Fax

Practice location:
  • Phone: 650-498-6022
  • Fax: 650-725-0533
Mailing address:
  • Phone: 650-498-5710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP10094
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: