Individual provider · Type 1 NPI

Zeyerusalem Woldesilasse

Primary Care Nurse Practitioner · Sacramento, CA

NPI number 1174292767 Active

Practice location

10385 Old Placerville Rd
Sacramento, CA 95827-2506

Call (916) 448-1770 Map

Fax (916) 448-3015

Mailing address

5201 Nectar Cir
Elk Grove, CA 95757-4333

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNP95016910 (CA)

Primary Care Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1174292767

Zeyerusalem Woldesilasse's National Provider Identifier is 1174292767, issued on Sep 8, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sacramento, CA. The record was last updated on Sep 8, 2021.