Sutter Medical Group Of The Redwoods in Santa Rosa - Nurse Practitioner
Sutter Medical Group Of The Redwoods - NPI 1184711715
Sutter Medical Group Of The Redwoods is a Nurse Practitioner in Santa Rosa, California. Sutter Medical Group Of The Redwoods practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Sutter Medical Group Of The Redwoods is 1184711715. The last update date is 2022-07-21.
Sutter Medical Group Of The Redwoods's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075711280 and fax number 7075785849. The mailing address for Sutter Medical Group Of The Redwoods is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sutter Medical Group Of The Redwoods |
|---|---|
| Address | 3536 Mendocino Ave, Santa Rosa, California |
| Phone Number | 7075711280 |
| Fax Number | 7075785849 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Rockstroh E Linda |
| Telephone Number | 7075218809 |
NPI Number Detail
| NPI Number | 1184711715 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3536 Mendocino Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954033634 |
| Phone Number | 7075711280 |
| Fax Number | 7075785849 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0055429 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sutter Medical Group Of The Redwoods by the Centers for Medicare & Medicaid Services?
The Sutter Medical Group Of The Redwoods has been issued the NPI (National Provider Identifier) 1184711715, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Sutter Medical Group Of The Redwoods is geographically located?
The Sutter Medical Group Of The Redwoods is physically situated at the following location: 3536 Mendocino Ave, Santa Rosa, CA, 954033634.
What is the Sutter Medical Group Of The Redwoods's specialty and taxonomy code?
The Sutter Medical Group Of The Redwoods's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Sutter Medical Group Of The Redwoods receive the assignment of its 1184711715 from the Centers for Medicare & Medicaid Services?
The Sutter Medical Group Of The Redwoods was issued its 1184711715 by the Centers for Medicare & Medicaid Services on 2006-10-06.
When was the information pertaining to Sutter Medical Group Of The Redwoods most recently updated or revised?
The details related to Sutter Medical Group Of The Redwoods, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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