Bernadette Lourdes Torres Pua, NP
Nurse Practitioner, Family in Stockton, CA. Individual provider (NPI-1).
NPI number1114320652
StatusActive
Last updated in NPPESMay 29, 2024
Details
- NPI
- 1114320652
- Entity type
- Individual (NPI-1)
- Name
- Bernadette Lourdes Torres Pua
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2014
- Certification date
- May 29, 2024
- Last updated
- May 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NP95019689 | CA | Yes |
Practice location
5320 Carrington CirStockton, CA 95210-3515
Phone 209-473-3004
Mailing address
10037 Fairweather DrStockton, CA 95219-7028
Phone 209-373-3907
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