Individual provider · NPI-1

Kristianne Marie Amurao, MD

Family Medicine · Roseville, CA

NPI number1225650856
StatusActive
Last updated in NPPESSep 2, 2025

Details

NPI
1225650856
Entity type
Individual (NPI-1)
Name
Kristianne Marie Amurao
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
May 18, 2020
Certification date
Sep 2, 2025
Last updated
Sep 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine201347CAYes
208M00000X Hospitalist25MA11860100NJ

Practice location

1011 Riverside Ave
Roseville, CA 95678

Phone 916-784-4050

Mailing address

1659 Palomares Way
Roseville, CA 95747-5018

Other practice locations

1 Cooper Plz
Camden, NJ 08103-1461

Phone 856-342-3150 · Fax 856-968-8418

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