Individual provider · Type 1 NPI

Sruthi Domalapally

Nurse Practitioner · San Jose, CA

NPI number 1033671748 Active

Practice location

65 N 14th St
San Jose, CA 95112-6207

Call (408) 279-1400 Map

Mailing address

99 Vista Montana Apt 3215
San Jose, CA 95134-2377

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95011027 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033671748

Sruthi Domalapally's National Provider Identifier is 1033671748, issued on Apr 2, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Jose, CA. The record was last updated on Apr 2, 2019.