Individual provider · Type 1 NPI

Sasha Tiffany Datta, FNP

Primary Care Nurse Practitioner · Sacramento, CA

NPI number 1700633120 Active

Practice location

10423 Old Placerville Rd Ste 100
Sacramento, CA 95827-2542

Call (916) 737-5555 Map

Mailing address

1500 Expo Pkwy
Sacramento, CA 95815-4227

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95029992 (CA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1700633120

Sasha Tiffany Datta, FNP's National Provider Identifier is 1700633120, issued on May 3, 2024. 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 Oct 1, 2024.