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Individual provider Active NPI Licensed Vocational Nurse · Fair Oaks, CA

NPI 1992683239 · NPPES record last updated Aug 25, 2025

Key facts

NPI
1992683239
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
723356 (CA)
Practice address
7959 Orange Ave
Fair Oaks, CA 95628-5916
Phone
(916) 458-4100
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
723356CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 723356 CA Yes

Addresses

Primary practice location

7959 Orange Ave
Fair Oaks, CA 95628-5916

Mailing address

7959 Orange Ave
Fair Oaks, CA 95628-5916
Phone (916) 256-9585

Other providers in Fair Oaks, CA

All providers in Fair Oaks, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.