Individual
ERICA SHADAE KINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP, AGNP
Contact information
Practice address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(619) 892-6256
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(619) 892-6256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP9500726
STATE LICENSE
CA
Enumeration date
04/04/2018
Last updated
08/18/2023
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