IndividualActive
Amanda Heerboth, NP
NPI 1366787772 · Pediatric Registered Nurse · San Jose, CA
Provider details
- NPI number
- 1366787772
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 779153 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
5671 Santa Teresa Blvd
105
San Jose, CA 95123-6512
Phone: (408) 284-2280
Fax: (408) 754-0450
Approximate (ZIP-level) locationGet directions
Mailing address
1452 Alegria Loop
San Jose, CA 95128-4559
Registry dates
- Enumerated
- 2012-12-11
- Last updated
- 2012-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.