Individual
LARS GJERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-5590
Mailing address
261 SELBY RANCH RD APT 3, SACRAMENTO, CA 95864-5854
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95009472
CA
Other
Enumeration date
11/16/2017
Last updated
11/16/2018
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