Kyra Marie Dougherty Delapedraja is a Los Gatos, California based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Kyra Marie Dougherty Delapedraja is NP95002321 for Pediatrics in California. Her current practice location is 15400 Los Gatos Blvd, Los Gatos. Patients can reach her at 408-523-3640. Kyra Marie Dougherty Delapedraja is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1164666442. Kyra Marie Dougherty Delapedraja specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Kyra Marie Dougherty Delapedraja speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kyra Marie Dougherty Delapedraja
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
PNP
Practice Address:
15400 Los Gatos Blvd, Los Gatos, California, 95032-2502
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1164666442
NPI Enumeration Date:
30 Apr, 2009
NPI Last Update On:
04 Mar, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kyra Marie Dougherty Delapedraja are as mentioned below.
License Number
Specialization
State
Status
NP95002321
Pediatrics
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kyra Marie Dougherty Delapedraja such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
22678522
Medicaid
Colorado
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kyra Marie Dougherty Delapedraja 325 Distel Cir, Los Altos, California
Zip:
94022-1408
Phone Number:
408-523-3640
Patients can reach Kyra Marie Dougherty Delapedraja at 15400 Los Gatos Blvd, Los Gatos, California or can call to book an appointment on 408-523-3640.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.