Individual
STEPHANIE J HUEZO ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2652 EL CAMINO REAL, SANTA CLARA, CA 95051-3041
(408) 524-5952
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
758349
NY
363LP0200X
Pediatric Nurse Practitioner
383120
NY
363LP0200X
Pediatric Nurse Practitioner
758349-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
95022032
CA
Other
Enumeration date
01/11/2021
Last updated
03/28/2023
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