NPI 1790768240 · live from the CMS NPI Registry
Nicole K Boramanand, APRN
Nurse Practitioner in Stanford, CA. National Provider Identifier 1790768240, active.
NPI record
| NPI | 1790768240 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 300 Pasteur Dr, Stanford, CA 94305 |
| Practice phone | 650-723-4000 |
| Enumerated | November 29, 2005 |
| Last updated | April 24, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 11719 (CA) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 002184 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.