Healthcare Provider Details

I. General information

NPI: 1255317806
Provider Name (Legal Business Name): AMY CATHERINE KUZMICH RN, MS, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 STOCKTON BLVD
SACRAMENTO CA
95817-2208
US

IV. Provider business mailing address

1225 EASTERN AVE
SACRAMENTO CA
95864-5364
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-4790
  • Fax:
Mailing address:
  • Phone: 916-482-1593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number15110
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License Number2133
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: