Individual provider · Type 1 NPI
Micah Leon Childress, NP
Acute Care Nurse Practitioner · Rocklin, CA
NPI number
1063291847
Active
Practice location
2340 Sunset Blvd #100, Studio 23
Rocklin, CA 95765
Mailing address
1331 Larkspur Dr
Rocklin, CA 95765-5593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95027332 (CA) |
| Acute Care Nurse Practitioner | 363LA2100X | 1138148 (TX) |
| Acute Care Nurse Practitioner | 363LA2100X | 10055339 (OR) |
| Acute Care Nurse Practitioner | 363LA2100X | 897150 (NV) |
| Acute Care Nurse Practitioner | 363LA2100X | 333548 (AZ) |
Acute Care Nurse Practitioner: Definition to come...
Other acute care nurse practitioner providers in Rocklin
About NPI 1063291847
Micah Leon Childress, NP's National Provider Identifier is 1063291847, issued on Sep 21, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Rocklin, CA. The record was last updated on Mar 4, 2026.