Individual
COURTNEY MARIE KOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
163WG0000X
General Practice Registered Nurse
2333147
TN
363L00000X
Nurse Practitioner
Primary
95016777
CA
363LA2100X
Acute Care Nurse Practitioner
26727
TN
Other
Enumeration date
09/12/2019
Last updated
03/24/2023
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