Provider Demographics
NPI:1316093768
Name:ESPERANCE, KATHRYN C (RNP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:C
Last Name:ESPERANCE
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 WELCH RD STE A7
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1924
Mailing Address - Country:US
Mailing Address - Phone:650-328-5141
Mailing Address - Fax:
Practice Address - Street 1:1101 WELCH RD STE A7
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1924
Practice Address - Country:US
Practice Address - Phone:650-328-5141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA309638363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA309638OtherSTATE LICENSE NUMBER