Healthcare Provider Details

I. General information

NPI: 1275018186
Provider Name (Legal Business Name): MONICA WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

8040 WESTCAMP RD
FAIR OAKS CA
95628-5017
US

V. Phone/Fax

Practice location:
  • Phone: 916-703-3011
  • Fax:
Mailing address:
  • Phone: 916-439-0581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95009819
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95009819
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: