Provider Demographics
NPI:1679313175
Name:SS NP NURSING CORP
Entity type:Organization
Organization Name:SS NP NURSING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHREIBER-SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-404-3731
Mailing Address - Street 1:2730 GATEWAY OAKS DR STE 215
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2730 GATEWAY OAKS DR STE 215
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-3503
Practice Address - Country:US
Practice Address - Phone:707-404-3731
Practice Address - Fax:866-701-5985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty