Healthcare Provider Details

I. General information

NPI: 1427366285
Provider Name (Legal Business Name): NINA SCHLOEMERKEMPER MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 09/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 V ST UCDHS/DEPT. OF ANESTHESIOLOGY, PSSB SUITE 1200
SACRAMENTO CA
95817-1460
US

IV. Provider business mailing address

4150 V STREET, UCDHS/DEPT. OF ANESTHESIOLOGY PSSB SUITE 1200
SACRAMENTO CA
95817
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7985
  • Fax: 916-734-2975
Mailing address:
  • Phone: 916-734-7985
  • Fax: 916-734-2975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberF5626 (2113 CERT.)
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: