Provider Demographics
NPI:1013947910
Name:ADRIANO-NOGRA, ROSAFEL R (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:ROSAFEL
Middle Name:R
Last Name:ADRIANO-NOGRA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 APPIAN WAY
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-9998
Mailing Address - Country:US
Mailing Address - Phone:408-701-7792
Mailing Address - Fax:
Practice Address - Street 1:21250 STEVENS CREEK BLVD.
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-5913
Practice Address - Country:US
Practice Address - Phone:408-864-8732
Practice Address - Fax:408-864-8983
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA580191163WC1400X, 163W00000X
CA15930363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1400XNursing Service ProvidersRegistered NurseCollege Health
No163W00000XNursing Service ProvidersRegistered Nurse