MEDICARE: NEERU VIRK FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95040388	CA

General Provider Information

NPI Number	:	1891612842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEERU VIRK FNP

Provider Business Mailing Address
First Line	:	6830 WALERGA RD APT 45
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95842-1868
Country	:	US
Telephone Number	:	530-701-2488
Fax Number	:

Provider Business Practice Location Address
First Line	:	6608 MERCY CT STE B
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-3171
Country	:	US
Telephone Number	:	916-241-9844
Fax Number	:	916-241-9845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2026
Last Update Date	:	07/01/2026

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