Healthcare Provider Details

I. General information

NPI: 1982063426
Provider Name (Legal Business Name): VICTORIA ANN GOLDEN ACNP-BC, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA ANN MORGAN ACNP-BC, FNP-BC

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817
US

IV. Provider business mailing address

2994 64TH ST
SACRAMENTO CA
95817-2624
US

V. Phone/Fax

Practice location:
  • Phone: 800-282-3284
  • Fax:
Mailing address:
  • Phone: 916-200-5957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95008147
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95008147
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: