Healthcare Provider Details

I. General information

NPI: 1881654812
Provider Name (Legal Business Name): NANCY GAIL BROWN RN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 SIERRA COLLEGE BLVD
ROCKLIN CA
95677-3855
US

IV. Provider business mailing address

2310 PROFESSIONAL DR STE 200
ROSEVILLE CA
95661-7778
US

V. Phone/Fax

Practice location:
  • Phone: 916-660-7490
  • Fax: 916-630-4545
Mailing address:
  • Phone: 916-773-1191
  • Fax: 916-773-0498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13085
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: