Individual provider · Type 1 NPI

Amanda Nicole Delgado Heerboth, NP

Pediatric Nurse Practitioner · San Jose, CA

NPI number 1366787772 Active

Practice location

6840 Via Del Oro Ste 210
San Jose, CA 95119-1372

Fax (408) 754-0450

Mailing address

2527 Lansford Ave
San Jose, CA 95125-4057

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X22142 (CA)
Pediatric Registered Nurse 163WP0200X779153 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366787772

Amanda Nicole Delgado Heerboth, NP's National Provider Identifier is 1366787772, issued on Dec 11, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Jose, CA. The record was last updated on Aug 24, 2026.