Individual
FELICIA M NAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9340 E STOCKTON BLVD, ELK GROVE, CA 95624-1558
(916) 567-4222
Mailing address
9340 E STOCKTON BLVD, ELK GROVE, CA 95624-1558
(916) 567-4222
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-EKWFGQ
CA
Other
Enumeration date
03/27/2023
Last updated
07/11/2025
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