Individual
ROSA ELENA HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
244 N JACKSON AVE, STE 209, SAN JOSE, CA 95116-1604
(408) 258-3724
(408) 258-3736
Mailing address
244 N JACKSON AVE, STE 209, SAN JOSE, CA 95116-1604
(408) 258-3724
(408) 258-3736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP9507
CA
363LF0000X
Family Nurse Practitioner
NP9507
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP9507
CA
Other
Enumeration date
09/07/2006
Last updated
06/22/2010
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