Individual
MA. LENDY SUMAYLO-ORTIGUESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP- BC
Contact information
Practice address
2825 CAPITOL AVE, SACRAMENTO, CA 95816-6039
(916) 267-5517
Mailing address
2825 CAPITOL AVE, SACRAMENTO, CA 95816-6039
(916) 267-5517
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95013660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95013660
—
CA
Enumeration date
01/10/2020
Last updated
01/10/2020
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