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NPI Code Detail

MEDICARE: ERIN ELIZABETH MEDEIROS NP

MEDICARE: ERIN ELIZABETH MEDEIROS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner95008769CA
2363LF0000XFamily Nurse Practitioner95008769CA
3363LP2300XPrimary Care Nurse Practitioner95008769CA
4363LP0200XPediatric Nurse Practitioner5016556NC
5363LP0200XPediatric Nurse Practitioner95008769CA
6363LA2100XAcute Care Nurse Practitioner5016556NC

General Provider Information

NPI Number : 1225532930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ELIZABETH MEDEIROS NP
Provider Business Mailing Address
First Line : 2315 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-2011
Fax Number :
Provider Business Practice Location Address
First Line : 2315 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-2011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 06/02/2026

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Directions to “ ERIN ELIZABETH MEDEIROS NP” Practice Location

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