Individual
CHAD ANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
23417 CLEARPOOL PL, HARBOR CITY, CA 90710
(817) 881-8187
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95031293
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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