Healthcare Provider Details

I. General information

NPI: 1346752052
Provider Name (Legal Business Name): DONNA F OCSONA REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2017
Last Update Date: 04/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 STOCKTON BLVD
SACRAMENTO CA
95817-1337
US

IV. Provider business mailing address

2130 STOCKTON BLVD BLDG 300
SACRAMENTO CA
95817-1337
US

V. Phone/Fax

Practice location:
  • Phone: 916-364-8395
  • Fax:
Mailing address:
  • Phone: 916-520-2460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95107570
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: