Individual provider · NPI-1

Lauren Alyssa Bale, FNP

Nurse Practitioner, Family · Roseville, CA

NPI number1891343745
StatusActive
Last updated in NPPESSep 3, 2019

Details

NPI
1891343745
Entity type
Individual (NPI-1)
Name
Lauren Alyssa Bale
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 3, 2019
Last updated
Sep 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95011806CAYes

Practice location

935 Reserve Dr
Roseville, CA 95678-1340

Phone 916-782-7758

Mailing address

2016 4th Ave
Sacramento, CA 95818-3048

Phone 909-967-0288

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