Individual provider · Type 1 NPI

Tracey Iyamu-Sanusi, FNP

Family Nurse Practitioner · Elk Grove, CA

NPI number 1093087595 Active

Practice location

5040 Laguna Blvd
Elk Grove, CA 95758-4147

Call (866) 389-2727 Map

Mailing address

1350 Florin Rd
Sacramento, CA 95822-4202

Other practice locations

  • 89 W March Ln, Stockton, CA 95207-5721 · (209) 478-2622

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95009824 (CA)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1093087595

Tracey Iyamu-Sanusi, FNP's National Provider Identifier is 1093087595, issued on Jan 31, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elk Grove, CA. The record was last updated on Nov 8, 2022.