Individual provider · Type 1 NPI
Laurence Nikko Crisostomo, NP
Family Nurse Practitioner · Elk Grove, CA
NPI number
1760979637
Active
Practice location
6617 Tronzano Way
Elk Grove, CA 95757-3057
Mailing address
89 Lincoln Blvd Ste 100
Lincoln, CA 95648-8096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP95005664 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1760979637
Laurence Nikko Crisostomo, NP's National Provider Identifier is 1760979637, issued on Apr 17, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elk Grove, CA. The record was last updated on Apr 17, 2018.