Individual
CARLOS HERNAN BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
213 QUARRY RD FL 4, PALO ALTO, CA 94304-1416
(650) 723-6469
Mailing address
3444 A 16TH STREET, SAN FRANCISCO, CA 94114
(415) 637-6009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005040
CA
363LA2200X
Adult Health Nurse Practitioner
95005040
CA
363LP2300X
Primary Care Nurse Practitioner
95005040
CA
Other
Enumeration date
10/19/2016
Last updated
07/30/2019
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