LIS ROSAGER DARNER


Address: 1734 Dry Creek Rd, San Jose, CA 95125-4626
Phone: 4089786766

LIS ROSAGER DARNER (NPI# 1366646556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366646556
Entity Type Individual
Full Name LIS ROSAGER DARNER
Credential RN
Practice Address 1734 Dry Creek Rd
San Jose
CA 95125-4626
Mailing Address 145 Westgate St
Redwood City
CA 94062-2813
Practice Telephone 4089786766
Enumeration Date 2007-06-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
351642 CA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA RVN000130 05

Office Location

Street Address 1734 DRY CREEK RD
City SAN JOSE
State CA
Zip Code 95125-4626

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1659809259 Edward Escoto Assistant Behavior Analyst 2075 Lincoln Ave Ste D, San Jose, CA 95125 2017-05-25
1104288422 Kristin Ann Dessau Counselor 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 2016-03-25
1275964488 Indian Health Center of Santa Clara Valley Clinic/Center 1685 Westwood Dr Ste 1, San Jose, CA 95125 2013-12-13
1598042905 Walgreens Exclusive Provider Organization 2585 Almaden Road, San Jose, CA 95125 2011-11-14
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1699093724 Lokahi Acupuncture, Inc. Acupuncturist 1688 Willow Street, Suite B, San Jose, CA 95125 2010-05-13
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518217017 Jean Jennifer J Soliven Registered Nurse 614 Tully Rd., San Jose, CA 95111 2012-09-12
1598085946 Faina Eichis Registered Nurse 1993 Mckee Rd Bldg B, San Jose, CA 95116-1406 2010-06-08
1568643278 Karen Havilla Registered Nurse 1989 Mckee Rd, San Jose, CA 95116-1406 2007-11-21
1285176222 Jagjit Kaur Sandher Registered Nurse 614 Tully Rd, San Jose, CA 95111-1048 2016-11-08
1316489495 Quynh-nhi Chi Pham Registered Nurse 614 Tully Rd, San Jose, CA 95111-1048 2016-11-07
1538418926 Grace A Jiao Registered Nurse 614 Tully Rd, San Jose, CA 95111-1048 2012-08-31
1417203852 Marisol Beatriz Urbina Registered Nurse 976 Lenzen Ave, San Jose, CA 95126-2737 2012-08-02
1760737233 Bonita Struthers Pallo Registered Nurse 976 Lenzen Ave, 1800, San Jose, CA 95126-2737 2012-07-19
1902151509 Charisse Feldman Registered Nurse 1993 Mckee Rd, Building B, San Jose, CA 95116-1406 2012-07-19
1497000129 Shirley Garcia Luna Registered Nurse 976 Lenzen Ave, Suite 1800, San Jose, CA 95126-2737 2012-07-18
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Competitor

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City SAN JOSE
Zip Code 95125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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