Healthcare Provider Details

I. General information

NPI: 1437941218
Provider Name (Legal Business Name): AARTI BANSAL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 BONHILL DR
FOLSOM CA
95630-6107
US

IV. Provider business mailing address

3728 CANNA CT
SACRAMENTO CA
95821-3101
US

V. Phone/Fax

Practice location:
  • Phone: 650-400-3031
  • Fax:
Mailing address:
  • Phone: 650-400-3031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number837200
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: