Individual provider · Type 1 NPI

Kelly Grigoryan, APRN, FNP-C

Nurse Practitioner · Sacramento, CA

NPI number 1639772528 Active

Practice location

5025 J St Ste 206
Sacramento, CA 95819-3839

Mailing address

4128 Stowe Way
Sacramento, CA 95864-6058

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95015011 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639772528

Kelly Grigoryan, APRN, FNP-C's National Provider Identifier is 1639772528, issued on Nov 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sacramento, CA. The record was last updated on Nov 21, 2020.