Healthcare Provider Details

I. General information

NPI: 1083945406
Provider Name (Legal Business Name): ALICIA MICHELLE RIGBY RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2010
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 X STREET
SACRAMENTO CA
95817-2229
US

IV. Provider business mailing address

4501 X STREET SUITE 3016
SACRAMENTO CA
95817-2229
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5959
  • Fax: 916-703-5265
Mailing address:
  • Phone: 916-734-5959
  • Fax: 916-703-5265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number768635
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number589882
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number336156
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number19841
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: