Individual
ILYSSA NARISSE PADUA
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
363L00000X
Nurse Practitioner
Primary
95008381
CA
363LF0000X
Family Nurse Practitioner
95008381
CA
363LP2300X
Primary Care Nurse Practitioner
95008381
CA
Other
Enumeration date
03/23/2018
Last updated
12/30/2025
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