Individual provider · Type 1 NPI

Supriya Sham Vaidya, DNP, NP

Nurse Practitioner · Stanford, CA

NPI number 1740957778 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Call (650) 723-4000 Map

Other practice locations

  • 161 Fort Washington Ave, New York, NY 10032-3729 · (877) 426-5637

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X347695 (NY)
Nurse Practitioner Primary 363L00000X95039830 (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 1740957778

Supriya Sham Vaidya, DNP, NP's National Provider Identifier is 1740957778, issued on Aug 26, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stanford, CA. The record was last updated on Jun 30, 2026.