Individual
SIDNEY ELIZABETH IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7600 OLD DOMINION CT, APTOS, CA 95003-3821
(831) 458-6200
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95015747
CA
Other
Enumeration date
04/27/2021
Last updated
05/17/2022
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