Individual
VANNDY LINDA LOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730
(408) 975-2745
Mailing address
2400 MOORPARK AVE, SAN JOSE, CA 95128-2631
(408) 975-2730
(408) 975-2745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
837585
CA
163WC1500X
Community Health Registered Nurse
85895
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012662
CA
Other
Enumeration date
05/20/2013
Last updated
10/01/2025
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