Individual
MOUSUMI MUKERJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
811 GRAND AVE STE D, SACRAMENTO, CA 95838
(916) 922-9868
Mailing address
1721 SHIRLEY DR, SACRAMENTO, CA 95822-3064
(916) 212-0324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
595477
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95009054
CA
367A00000X
Advanced Practice Midwife
1553
CA
Other
Enumeration date
03/03/2006
Last updated
06/20/2018
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