Individual
AIDA DIZDAREVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1250 COLLINS LN, SAN JOSE, CA 95129-4208
(408) 973-9992
Mailing address
1250 COLLINS LN, SAN JOSE, CA 95129-4208
(408) 973-9992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
601774
CA
363LF0000X
Family Nurse Practitioner
Primary
95005637
CA
Other
Enumeration date
07/11/2016
Last updated
09/18/2023
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