Individual provider · Type 1 NPI

Wendy Adeline Sura, NP

Nurse Practitioner · San Jose, CA

NPI number 1366580201 Active

Practice location

2589 Samaritan Dr
San Jose, CA 95124-4102

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X16006 (CA)
Nurse Practitioner Primary 363L00000X16006 (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 1366580201

Wendy Adeline Sura, NP's National Provider Identifier is 1366580201, issued on Feb 2, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Jose, CA. The record was last updated on Dec 31, 2025.