Individual provider · Type 1 NPI

Kristen N. Lake, FNP-C

Nurse Practitioner · Roseville, CA

NPI number 1720527336 Active

Practice location

1620 E Roseville Pkwy, Ste 110
Roseville, CA 95661-3995

Call (916) 797-4715 Map

Fax (916) 797-4716

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95140746 (CA)
Nurse Practitioner Primary 363L00000X95007613 (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 1720527336

Kristen N. Lake, FNP-C's National Provider Identifier is 1720527336, issued on Feb 15, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Roseville, CA. The record was last updated on Dec 16, 2023.