Individual
HEATHER A TUCKER-BJORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 366-5406
Mailing address
2220 10TH ST, APT 1/2, SACRAMENTO, CA 95818-1316
(775) 230-0438
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016783
CA
363LF0000X
Family Nurse Practitioner
833735
NV
Other
Enumeration date
09/03/2020
Last updated
08/02/2022
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