Individual
CARA LEA NOOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.N.S., F.N.P.
Contact information
Practice address
1411 SECRET RAVINE PKWY, SUITE 100, ROSEVILLE, CA 95661-6041
(916) 782-8130
(916) 782-8160
Mailing address
1411 SECRET RAVINE PKWY, SUITE 100, ROSEVILLE, CA 95661-6041
(916) 782-8130
(916) 782-8160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
651233
CA
363LF0000X
Family Nurse Practitioner
Primary
16308
CA
364SM0705X
Medical-Surgical Clinical Nurse Specialist
2437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16308
FAMILY NURSE PRACTITIONER
CA
01
—
2437
CLINICAL NURSE SPECIALIST
CA
01
—
651233
REGISTERED NURSE
CA
Enumeration date
01/29/2007
Last updated
08/10/2009
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