Healthcare Provider Details

I. General information

NPI: 1245590876
Provider Name (Legal Business Name): SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5099 COMMERCIAL CIR STE 208
CONCORD CA
94520-1374
US

IV. Provider business mailing address

5099 COMMERCIAL CIR STE 208
CONCORD CA
94520-1374
US

V. Phone/Fax

Practice location:
  • Phone: 855-771-0328
  • Fax:
Mailing address:
  • Phone: 855-771-0328
  • Fax: 707-863-9043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PATRICK A BROWN
Title or Position: CFO
Credential:
Phone: 855-771-0328