MS. LIEZEL BERSAMINA NURSE PRACTITIONER
NPI 1912310046
Nurse Practitioner - Family in Fair Oaks, CA
Active since June 05, 2014
6600 MERCY CT STE 100, FAIR OAKS, CA 95628(916) 966-5404(916) 966-5411 Get Directions Write a Review
About Ms. Liezel Bersamina Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LIEZEL BERSAMINA NURSE PRACTITIONER (NPI 1912310046) is an individual family provider in Fair Oaks, California, licensed in California (13849) and active in the NPI registry since June 2014.
NPPES Registry Identity
NPI1912310046
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LIEZEL BERSAMINACredential: NURSE PRACTITIONER
Location Address6600 MERCY CT STE 100Fair Oaks, CA 95628-3154
Mailing Address6600 Mercy Ct Ste 100Fair Oaks, CA 95628-3154 · (916) 966-5404 · Fax (916) 966-5411
Phone(916) 966-5404
Fax(916) 966-5411
Sole ProprietorNo
Enumeration DateJune 5, 2014
✔ NPI 1912310046 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 13849
6600 MERCY CT STE 100, Fair Oaks, CA 95628
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912310046, enumerated as an "individual" on June 05, 2014.
The provider is located at 6600 MERCY CT STE 100 FAIR OAKS, CA 95628 and the phone number is (916) 966-5404.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
