MRS. KELLY BUGOS RN NP MS NPI 1750564605

NPI Information

NPI: 1750564605
Provider Name: MRS. KELLY BUGOS, RN NP MS
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: STANFORD HEALTH CARE

PECOS Registration: Yes

Address:
875 BLAKE WILBUR DRIVE
STANFORD, CA
ZIP 94305
Phone: (650) 725-1216
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MRS. Kelly Bugos, RN NP MS is an adult health nurse practitioner in Stanford, CA with 31 years of experience. MRS. Kelly Bugos, RN NP MS NPI is 1750564605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

875 BLAKE WILBUR DRIVE
STANFORD, CA
ZIP 94305-826
Phone: (650) 725-1216

The NPI 1750564605 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 12/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	NP 6755	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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