# ADVANCED PRACTICE NURSING PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104798297
- **Authorized official:** LORA CAMPOS (CEO & PRESIDENT)
- **Authorized official phone:** (747) 253-9940

## Contact information

- **Practice address:** 2108 N ST \# 5519, SACRAMENTO, CA 95816-5712
- **Practice address phone:** (747) 253-9940
- **Mailing address:** 2108 N ST \# 5519, SACRAMENTO, CA 95816-5712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2025
- **Last updated:** 09/19/2025