Provider Demographics
NPI:1477098424
Name:SEBASTIAN, SINDHU (BSN, MSN, RN)
Entity type:Individual
Prefix:MS
First Name:SINDHU
Middle Name:
Last Name:SEBASTIAN
Suffix:
Gender:F
Credentials:BSN, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6166 COTTLE RD
Mailing Address - Street 2:APT 5
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-5108
Mailing Address - Country:US
Mailing Address - Phone:669-350-3505
Mailing Address - Fax:
Practice Address - Street 1:6166 COTTLE RD
Practice Address - Street 2:APT 5
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-5108
Practice Address - Country:US
Practice Address - Phone:669-350-3505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95114861163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse