Individual provider · Type 1 NPI
Alex Reza Daeisadeghi, NP
Adult Health Nurse Practitioner · Sacramento, CA
NPI number
1083259725
Active
Practice location
3941 J St Ste 260
Sacramento, CA 95819-3633
Fax (916) 736-0620
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11004683 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95024987 (CA) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1083259725
Alex Reza Daeisadeghi, NP's National Provider Identifier is 1083259725, issued on Nov 15, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Sacramento, CA. The record was last updated on Aug 7, 2023.