Healthcare Provider Details

I. General information

NPI: 1760995286
Provider Name (Legal Business Name): MARGARET UKANDU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2017
Last Update Date: 11/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 J ST STE 201
SACRAMENTO CA
95816-5542
US

IV. Provider business mailing address

3701 J ST STE 201
SACRAMENTO CA
95816-5542
US

V. Phone/Fax

Practice location:
  • Phone: 916-454-2345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP133147
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95006379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: