Provider Demographics
NPI:1740787837
Name:ATIENO, SYLVIA A (NP)
Entity type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:A
Last Name:ATIENO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2597 ROXBY WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-8852
Mailing Address - Country:US
Mailing Address - Phone:916-215-1598
Mailing Address - Fax:
Practice Address - Street 1:SUTTTER ROSEVILLE MEDICAL CENTER
Practice Address - Street 2:1 MEDICAL PLAZA
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:916-781-1718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily