Healthcare Provider Details

I. General information

NPI: 1720585177
Provider Name (Legal Business Name): NANCY ANN CALTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 UNIVERSITY AVE STE 120
SACRAMENTO CA
95825-6532
US

IV. Provider business mailing address

200 S LEXINGTON DR APT 928
FOLSOM CA
95630-7030
US

V. Phone/Fax

Practice location:
  • Phone: 916-929-8564
  • Fax: 916-929-4529
Mailing address:
  • Phone: 916-296-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95008593
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: