Provider Demographics
NPI:1447215314
Name:PEREZ, KATHY D (NP)
Entity Type:Individual
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First Name:KATHY
Middle Name:D
Last Name:PEREZ
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Gender:F
Credentials:NP
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Mailing Address - Street 1:77 CADILLAC DR
Mailing Address - Street 2:STE 230
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-5480
Mailing Address - Country:US
Mailing Address - Phone:916-791-9337
Mailing Address - Fax:916-689-8943
Practice Address - Street 1:7601 HOSPITAL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5408
Practice Address - Country:US
Practice Address - Phone:916-689-3433
Practice Address - Fax:916-689-8943
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2020-08-27
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Provider Licenses
StateLicense IDTaxonomies
CA477111363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health