Healthcare Provider Details

I. General information

NPI: 1699956359
Provider Name (Legal Business Name): MARGARET KORZEWSKI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MALGORZATA KORZEWSKI NP

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 12/07/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

2335 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3800
  • Fax: 916-734-3801
Mailing address:
  • Phone: 916-734-2011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: