Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 95010342 | CA |
N | 363LP2300X | Nurse Practitioner - Primary Care | AP137146 | TX |
NPI | 1083118970 |
---|---|
Provider Name | Pratikshya Acharya |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Sacramento, CA 95816-7058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2018 |
Last Update Date | 26/12/2018 |