Healthcare Provider Details

I. General information

NPI: 1609503978
Provider Name (Legal Business Name): DENISE FRANCINE NASCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4830 J ST
SACRAMENTO CA
95819-3742
US

IV. Provider business mailing address

6805 RANCHO PICO WAY
SACRAMENTO CA
95828-1326
US

V. Phone/Fax

Practice location:
  • Phone: 916-451-2187
  • Fax:
Mailing address:
  • Phone: 916-330-9308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number25273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: