Provider Demographics
NPI:1801146063
Name:SHARMA, ANJALI (FNP)
Entity type:Individual
Prefix:
First Name:ANJALI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:GEETANJALI
Other - Middle Name:
Other - Last Name:NANDAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1650 RESPONSE RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4807
Mailing Address - Country:US
Mailing Address - Phone:916-973-5200
Mailing Address - Fax:877-738-4262
Practice Address - Street 1:430 N PALORA AVE
Practice Address - Street 2:STE G
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4707
Practice Address - Country:US
Practice Address - Phone:530-674-2603
Practice Address - Fax:530-674-0491
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily