Healthcare Provider Details

I. General information

NPI: 1932178522
Provider Name (Legal Business Name): PAMELA GAY CAMILLE GANDY-ROSEMOND RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 BOWLING DR STE 300
SACRAMENTO CA
95823
US

IV. Provider business mailing address

PO BOX 581361
ELK GROVE CA
95758
US

V. Phone/Fax

Practice location:
  • Phone: 916-875-6340
  • Fax: 916-875-6366
Mailing address:
  • Phone: 916-684-1588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN456566
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN456566
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: