Individual provider · Type 1 NPI
Mark Anthony Petalcorin
Registered Nurse · Sacramento, CA
Practice location
2150 Stockton Blvd
Sacramento, CA 95817-1337
Mailing address
9425 Vintage Port Way
Sacramento, CA 95829-9589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 95035025 (CA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1487190435
Mark Anthony Petalcorin's National Provider Identifier is 1487190435, issued on Jan 16, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Sacramento, CA. The record was last updated on Jan 16, 2017.