Provider Demographics
NPI:1427224336
Name:MEKUS, ROXANN ELIZABETH (RN)
Entity Type:Individual
Prefix:MS
First Name:ROXANN
Middle Name:ELIZABETH
Last Name:MEKUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 LONDON ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-3404
Mailing Address - Country:US
Mailing Address - Phone:916-394-9579
Mailing Address - Fax:916-939-1959
Practice Address - Street 1:1400 LONDON ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-3404
Practice Address - Country:US
Practice Address - Phone:916-394-9579
Practice Address - Fax:916-939-1959
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN494544163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management