Healthcare Provider Details

I. General information

NPI: 1841774197
Provider Name (Legal Business Name): SUNITA SAINI NP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2018
Last Update Date: 12/24/2024
Certification Date: 12/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3727 MARCONI AVE
SACRAMENTO CA
95821-5303
US

IV. Provider business mailing address

3727 MARCONI AVE
SACRAMENTO CA
95821-5303
US

V. Phone/Fax

Practice location:
  • Phone: 916-485-6500
  • Fax:
Mailing address:
  • Phone: 916-485-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number792731
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95006657
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: