Healthcare Provider Details

I. General information

NPI: 1013798156
Provider Name (Legal Business Name): NANCY ZEPF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 HOWE AVE STE 100
SACRAMENTO CA
95825-4732
US

IV. Provider business mailing address

5427 Q ST
SACRAMENTO CA
95819-4544
US

V. Phone/Fax

Practice location:
  • Phone: 916-469-9337
  • Fax:
Mailing address:
  • Phone: 916-704-9818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberG072156
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: