Provider Demographics
NPI:1982776100
Name:GAUDIO, MARJORIE STRATHMAN (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:STRATHMAN
Last Name:GAUDIO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 HOSPITAL PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1106
Mailing Address - Country:US
Mailing Address - Phone:408-972-6372
Mailing Address - Fax:408-972-6372
Practice Address - Street 1:275 HOSPITAL PKWY
Practice Address - Street 2:MOB 5TH FLOOR
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1106
Practice Address - Country:US
Practice Address - Phone:408-972-6372
Practice Address - Fax:408-972-6447
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA297142163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ29509Medicare UPIN