Individual
CARLA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 703-3050
Mailing address
5311 7TH AVE, SACRAMENTO, CA 95820-1711
(415) 599-5795
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
95005236
CA
Other
Enumeration date
11/28/2016
Last updated
04/14/2024
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