Individual
GODLAND PADIERNOS VERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95029002
CA
363LF0000X
Family Nurse Practitioner
APRN11022861
FL
Other
Enumeration date
12/15/2022
Last updated
02/07/2025
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