Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audrey Serena Wack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194578013

Audrey Serena Wack is a Student in an Organized Health Care Education/Training Program in San Jose, California. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

751 S Bascom Ave
San Jose, CA 95128-2699
Phone: (408) 885-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 453 Quarry Rd, Palo Alto, CA 94304-1419 — (650) 723-2300

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1194578013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2024
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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