Healthcare Provider Details

I. General information

NPI: 1568188191
Provider Name (Legal Business Name): FLORIN CLAUDIU TODIRAS FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 10/14/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 CONROY LN STE 100
ROSEVILLE CA
95661-4154
US

IV. Provider business mailing address

1130 CONROY LN STE 100
ROSEVILLE CA
95661-4154
US

V. Phone/Fax

Practice location:
  • Phone: 916-580-6600
  • Fax:
Mailing address:
  • Phone: 916-580-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number95022247
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: