Heredia, Rosa Elena

Heredia, Rosa Elena is an individual health care provider with primary practice located at 244 N Jackson Ave Ste 209, San Jose CA 95116-1604. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Heredia, Rosa Elena can be contacted via phone (408) 258-3724.

Contact Information

Primary practice address
244 N Jackson Ave Ste 209 San Jose CA 95116-1604
Phone: (408) 258-3724
Fax: (408) 258-3736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP9507 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NP9507 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP9507 California

Profile Details

NPI number 1033212691
LBN Legal business name Heredia, Rosa Elena
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jun 22nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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