Individual provider · Type 1 NPI

Lindsey Diane Kopperud, NP, PHN, BSN, ANP-BC

Nurse Practitioner · Sacramento, CA

NPI number 1992036339 Active

Practice location

2315 Stockton Blvd
Sacramento, CA 95817-2201

Mailing address

4805 Polo Ct
Fair Oaks, CA 95628-5266

Other practice locations

  • 5151 F St, Sacramento, CA 95819-3223 · (530) 521-7740
  • 500 University Ave Ste 250, Sacramento, CA 95825-6525 · (916) 680-9510

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X10898 (CA)
Nurse Practitioner Primary 363L00000X653636 (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 1992036339

Lindsey Diane Kopperud, NP, PHN, BSN, ANP-BC's National Provider Identifier is 1992036339, issued on Jan 25, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sacramento, CA. The record was last updated on Jan 14, 2021.