Healthcare Provider Details

I. General information

NPI: 1780763847
Provider Name (Legal Business Name): RITA L. ENRIGHT NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 MORSE AVE #5900
SACRAMENTO CA
95825-2115
US

IV. Provider business mailing address

2025 MORSE AVE #5900
SACRAMENTO CA
95825-2115
US

V. Phone/Fax

Practice location:
  • Phone: 916-973-5300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP3040
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: