Healthcare Provider Details

I. General information

NPI: 1275166381
Provider Name (Legal Business Name): VERONICA KAMAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2020
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8627 CAMARGUE CT
SACRAMENTO CA
95828-5947
US

IV. Provider business mailing address

8627 CAMARGUE CT
SACRAMENTO CA
95828-5947
US

V. Phone/Fax

Practice location:
  • Phone: 443-414-7767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95126986
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number95126986
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95014610
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95014610
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: