Healthcare Provider Details

I. General information

NPI: 1033761945
Provider Name (Legal Business Name): FRANCIS I OKWUOSA FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 07/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 WATT AVE STE 330
SACRAMENTO CA
95825-0571
US

IV. Provider business mailing address

2508 STANSBERRY WAY
SACRAMENTO CA
95826-2123
US

V. Phone/Fax

Practice location:
  • Phone: 916-779-0811
  • Fax:
Mailing address:
  • Phone: 916-205-6952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95011894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: