Individual
KRISTA COURTNEY DIZON DACASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN-CNP, FNP-C
Contact information
Practice address
9890 CAPE VERDE DR, ELK GROVE, CA 95757-6329
(661) 742-8579
Mailing address
9890 CAPE VERDE DR, ELK GROVE, CA 95757-6329
(661) 932-8129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95025802
CA
363LF0000X
Family Nurse Practitioner
832576
NV
Other
Enumeration date
10/11/2020
Last updated
02/21/2024
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