Healthcare Provider Details

I. General information

NPI: 1467193177
Provider Name (Legal Business Name): SORINA PLOSCEANU RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SORINA STAN

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11815 EDUCATION ST
AUBURN CA
95602-2410
US

IV. Provider business mailing address

2747 CAMPBELL DR
AUBURN CA
95602-9655
US

V. Phone/Fax

Practice location:
  • Phone: 530-888-4500
  • Fax:
Mailing address:
  • Phone: 916-607-8288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number688285
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number688285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: