NPI 1871079111 · live from the CMS NPI Registry
Paris Gilbert Russ Kenzo Aaron
Nurse Practitioner, Family in Sacramento, CA. National Provider Identifier 1871079111, active.
NPI record
| NPI | 1871079111 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4241 Florin Rd, Sacramento, CA 95823 |
| Practice phone | 916-469-4690 |
| Mailing address | 12619 Ashley Melisse Blvd, Jacksonville, FL 32225 |
| Enumerated | July 18, 2018 |
| Last updated | December 29, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | ARNP9283795 (FL) |
| Nurse Practitioner, Family primary | 363LF0000X | 735782 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.