Provider Demographics
NPI:1538613989
Name:NAZARENO, CLAIRE ANN SAUL (FNP)
Entity type:Individual
Prefix:
First Name:CLAIRE ANN
Middle Name:SAUL
Last Name:NAZARENO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALIFORNIA STATE UNIVERSITY SACRAMENTO
Mailing Address - Street 2:6000 J STREET
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-6045
Mailing Address - Country:US
Mailing Address - Phone:916-278-6461
Mailing Address - Fax:916-278-7359
Practice Address - Street 1:6000 J STREET
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-6045
Practice Address - Country:US
Practice Address - Phone:916-278-6461
Practice Address - Fax:916-278-7359
Is Sole Proprietor?:No
Enumeration Date:2016-08-14
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95004406363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily