Healthcare Provider Details
I. General information
NPI: 1760395818
Provider Name (Legal Business Name): ROCKLIN WOUND CARE, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4020 SIERRA COLLEGE BLVD STE 138
ROCKLIN CA
95677-3906
US
IV. Provider business mailing address
4020 SIERRA COLLEGE BLVD STE 138
ROCKLIN CA
95677-3906
US
V. Phone/Fax
- Phone: 916-840-7134
- Fax: 877-365-8865
- Phone: 916-840-7134
- Fax: 877-365-8865
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MS.
CHARLEEN
SINGH
Title or Position: OWNER
Credential: APRN
Phone: 914-840-7134