Veronica Barraza Conrad, NP
Nurse Practitioner, Pediatrics in San Jose, CA. Individual provider (NPI-1).
NPI number1508164443
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1508164443
- Entity type
- Individual (NPI-1)
- Name
- Veronica Barraza Conrad
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2011
- Certification date
- Nov 1, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | NP18575 | CA | Yes |
| 163WP0200X | Registered Nurse, Pediatrics | NP18575 | CA |
Other names
- Veronica Barraza Conrad (Former Name)
Practice location
751 S Bascom AvePediatrics Dept
San Jose, CA 95128-2604
Phone 408-885-7200
Mailing address
751 S Bascom AvePediatrics Dept
San Jose, CA 95128-2604
Phone 408-885-7200
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