Healthcare Provider Details

I. General information

NPI: 1639048689
Provider Name (Legal Business Name): HOPE GRIGORETS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7248 S LAND PARK DR STE 205
SACRAMENTO CA
95831-3661
US

IV. Provider business mailing address

2163 WOODHEAD ST
FOLSOM CA
95630-6311
US

V. Phone/Fax

Practice location:
  • Phone: 916-220-6192
  • Fax:
Mailing address:
  • Phone: 916-220-6192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95036987
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95036987
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95036987
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: