Individual
MS. SULTANNA B. IDEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2521 STOCKTON BLVD, PEDIATRICS, SACRAMENTO, CA 95817-2207
(916) 734-0494
Mailing address
2516 STOCKTON BLVD, PEDIATRIC ENDOCRINOLOGY, SACRAMENTO, CA 95817-2208
(916) 734-0494
(916) 734-7070
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN 463427
CA
163WD0400X
Diabetes Educator Registered Nurse
RN 463427
CA
163WP0200X
Pediatric Registered Nurse
Primary
RN 463427
CA
Other
Enumeration date
12/14/2005
Last updated
09/11/2025
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