Healthcare Provider Details

I. General information

NPI: 1538298815
Provider Name (Legal Business Name): KIMBERLY ANN FRANZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 STOCKTON BLVD THIRD FLOOR
SACRAMENTO CA
95817-2208
US

IV. Provider business mailing address

541 54TH ST
SACRAMENTO CA
95819-3001
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7618
  • Fax:
Mailing address:
  • Phone: 916-812-1239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number489219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: