NPI 1023762259

Shane Saputra

Practitioner Registered Nurse San Jose, CA

Practice location

Address: 425 E Santa Clara St, San Jose, CA 95113-1936
Phone: (669) 245-3429

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 95260284 (CA)

Other Registered Nurse providers in California →

Registry record

NPI: 1023762259
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2022
Record last updated: 7 Feb 2022

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.