Kaoru Namura, AG-ACNP
Nurse Practitioner, Acute Care in Lincoln, CA. Individual provider (NPI-1).
NPI number1962007492
StatusActive
Last updated in NPPESDec 2, 2020
Details
- NPI
- 1962007492
- Entity type
- Individual (NPI-1)
- Name
- Kaoru Namura
- Credential
- AG-ACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2020
- Certification date
- Dec 2, 2020
- Last updated
- Dec 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 95015067 | CA | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 735902 | CA |
Other names
- Kira Namura (Other Name)
Practice location
130 Rosella PlLincoln, CA 95648-8923
Phone 916-396-6182
Mailing address
130 Rosella PlLincoln, CA 95648-8923
Phone 916-396-6182
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