Iyamu-Sanusi, Tracey

Iyamu-Sanusi, Tracey is an individual health care provider with primary practice located at 5040 Laguna Blvd , Elk Grove CA 95758-4147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Iyamu-Sanusi, Tracey can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
5040 Laguna Blvd Elk Grove CA 95758-4147
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95009824 California

Profile Details

NPI number 1093087595
LBN Legal business name Iyamu-Sanusi, Tracey
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2012
Last updated Nov 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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