Individual
AMITA PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8001 BRUCEVILLE RD, SACRAMENTO, CA 95823
(916) 288-0326
Mailing address
8009 BRUCEVILLE RD, SACRAMENTO, CA 95823-2332
(916) 288-0326
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
692147
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95369447
CA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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