Nicole K Boramanand, APRN
Nurse Practitioner in Stanford, CA. Individual provider (NPI-1).
NPI number1790768240
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1790768240
- Entity type
- Individual (NPI-1)
- Name
- Nicole K Boramanand
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2005
- Certification date
- Apr 24, 2023
- Last updated
- Apr 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11719 | CA | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | 002184 | CT |
Practice location
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
Mailing address
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
Other practice locations
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