Individual provider · Type 1 NPI
Kristyl Bernadette Fuentes Larracas, NP
Nurse Practitioner · Stanford, CA
Practice location
300 Pasteur Dr # E25
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Other practice locations
- 3700 Havenhurst Ct, Modesto, CA 95355-8215 · (209) 996-8544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95012453 (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 1659903284
Kristyl Bernadette Fuentes Larracas, NP's National Provider Identifier is 1659903284, issued on Feb 11, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stanford, CA. The record was last updated on Apr 14, 2023.