Healthcare Provider Details

I. General information

NPI: 1871102228
Provider Name (Legal Business Name): SARA LEONA NOPWASKEY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 LARKSPUR LN STE B
REDDING CA
96002-0639
US

IV. Provider business mailing address

2673 TREMONTO RD
ANDERSON CA
96007-3550
US

V. Phone/Fax

Practice location:
  • Phone: 858-276-0968
  • Fax:
Mailing address:
  • Phone: 530-768-4618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95096074
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95015161
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: