NPI 1013136423

Julie Dutton, NP

Practitioner Gerontology Nurse Practitioner San Jose, CA

Practice location

Address: 4855 Atherton Ave STE 101, San Jose, CA 95130-1026
Phone: (408) 963-2400
Fax: (408) 963-2472
Mailing address: 12900 Park Plaza Dr STE 150, Cerritos, CA 90703-9329

Registered specialties

Gerontology Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence 455229 (CA)

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Registry record

NPI: 1013136423
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2007
Record last updated: 30 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.