Organization
NORTHERN CALIFORNIA ADVANCED PRACTICE NURSING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI D. MOORE ACNP-BC (PRESIDENT)
(707) 320-3004
Entity
Organization
Contact information
Practice address
2564 EDGEWATER DR, NAPA, CA 94558-3641
(707) 320-3004
(707) 224-5848
Mailing address
2564 EDGEWATER DR, NAPA, CA 94558-3641
(707) 320-3004
(707) 224-5848
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
12604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12604
NP LICENSE
CA
01
—
431102
RN LICENSE
CA
Enumeration date
05/13/2014
Last updated
07/31/2014
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