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NPI Code Detail

MEDICARE: SANDRA HUIZAR-HERRERA NP

MEDICARE: SANDRA HUIZAR-HERRERA NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95004625CA
2363L00000XNurse Practitioner95004625CA

General Provider Information

NPI Number : 1801340047
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA HUIZAR-HERRERA NP
Provider Business Mailing Address
First Line : 798 S WINCHESTER BLVD
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2928
Country : US
Telephone Number : 408-984-7226
Fax Number :
Provider Business Practice Location Address
First Line : 798 S WINCHESTER BLVD
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2928
Country : US
Telephone Number : 408-984-7226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2016
Last Update Date : 09/06/2022

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Directions to “ SANDRA HUIZAR-HERRERA NP” Practice Location

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