Individual
BREANNA MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
151 N SUNRISE AVE STE 1201, ROSEVILLE, CA 95661-2961
(916) 780-0110
Mailing address
8462 W GRANITE DR, GRANITE BAY, CA 95746-9569
(916) 595-7516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95031284
CA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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