Healthcare Provider Details

I. General information

NPI: 1851911002
Provider Name (Legal Business Name): CLAUDIA CANTURIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2020
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

9163 AEGINA CT
ELK GROVE CA
95758-5105
US

V. Phone/Fax

Practice location:
  • Phone: 916-703-5572
  • Fax:
Mailing address:
  • Phone: 916-317-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95014292
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: