Healthcare Provider Details

I. General information

NPI: 1851296032
Provider Name (Legal Business Name): MAUDINA MENSAH-KANE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12708 HEREFORD AVE
RANCHO CORDOVA CA
95742-6985
US

IV. Provider business mailing address

12708 HEREFORD AVE
RANCHO CORDOVA CA
95742-6985
US

V. Phone/Fax

Practice location:
  • Phone: 916-764-2521
  • Fax:
Mailing address:
  • Phone: 916-764-2521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95041739
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: