Individual
MRS. KELLY MARIE CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNS
Contact information
Practice address
300 PASTEUR DRIVE, HC029, STANFORD, CA 94305-5222
(650) 701-5936
(650) 721-5079
Mailing address
695 MONTEREY BLVD APT 302, SAN FRANCISCO, CA 94127-2363
(714) 330-5612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22532
CA
364S00000X
Clinical Nurse Specialist
3686
CA
Other
Enumeration date
09/25/2013
Last updated
08/28/2014
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