Provider Demographics
NPI:1477244861
Name:GENERATIONAL WELLNESS AND NURSING SERVICES INC
Entity type:Organization
Organization Name:GENERATIONAL WELLNESS AND NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENZI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALISTER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:916-398-4894
Mailing Address - Street 1:3600 AMERICAN RIVER DR STE 204
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5950
Mailing Address - Country:US
Mailing Address - Phone:916-398-4894
Mailing Address - Fax:916-975-9811
Practice Address - Street 1:3600 AMERICAN RIVER DR STE 204
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5950
Practice Address - Country:US
Practice Address - Phone:916-398-4894
Practice Address - Fax:916-975-9811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty