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Kyra Marie Dougherty Delapedraja, PNP
Pediatric Nurse Practitioner in Los Gatos, California
NPI 1164666442

Kyra Marie Dougherty Delapedraja is a Pediatric Nurse Practitioner based in Los Altos, CA and is specialized in Pediatrics. Kyra Marie Dougherty Delapedraja practices in Los Gatos, CA and has the professional credentials of PNP. The NPI Number for Kyra Marie Dougherty Delapedraja is 1164666442 and holds a License No. NP95002321 (California).

The current practice location address for Kyra Marie Dougherty Delapedraja is 15400 Los Gatos Blvd, Los Gatos, CA and can be reached out via phone at 408-523-3640.

Location: 15400 Los Gatos Blvd, Los Gatos, CA, 94022-1408
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Provider Profile Details
NPI Number
1164666442
Provider Name
Kyra Marie Dougherty Delapedraja
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
15400 Los Gatos Blvd, Los Gatos, CA, 94022-1408
Phone Number
408-523-3640
Fax Number
Provider Enumeration Date
04/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22678522 05 CO
institution
Provider Business Practice Location Address Details
Address
15400 Los Gatos Blvd
City
State
Zip
95032-2502
Phone Number
408-523-3640
Fax Number
person
Provider Business Mailing Address Details
Address
15400 Los Gatos Blvd
City
State
Zip
95032-2502
Phone Number
408-523-3640
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
NP95002321 (California)
Definition
Definition to come...
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