Healthcare Provider Details

I. General information

NPI: 1710681218
Provider Name (Legal Business Name): NIGAH PATEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3581 PALMER DR STE 602
CAMERON PARK CA
95682-8238
US

IV. Provider business mailing address

3581 PALMER DR STE 602
CAMERON PARK CA
95682-8238
US

V. Phone/Fax

Practice location:
  • Phone: 530-672-7000
  • Fax:
Mailing address:
  • Phone: 530-672-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: