Individual provider · Type 1 NPI

Ketty C. Wang, NP

Nurse Practitioner · Santa Cruz, CA

NPI number 1740053529 Active

Practice location

1667 Dominican Way Ste 230
Santa Cruz, CA 95065-1560

Call (831) 458-6288 Map

Fax (831) 477-9026

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200

Other practice locations

300 Pasteur Dr, Stanford, CA 94305-2200 · (650) 723-4000

Specialties and licenses

Taxonomy	Code	License
Critical Care Medicine Nurse Practitioner	363LC0200X	95027289 (CA)
Nurse Practitioner Primary	363L00000X	95027289 (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…

3 other providers at this address

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About NPI 1740053529

Ketty C. Wang, NP's National Provider Identifier is 1740053529, issued on Nov 2, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Cruz, CA. The record was last updated on Jul 22, 2026.