HomeNPI Verification

NPI Verification

National Provider Identifier: 1396553616

Active Life Wound Center a Professional Medical Corporation

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (5)

Registered Nurse, Wound Care

Code: 163WW0000X

Dermatology

Code: 207N00000X

Family Medicine

Code: 207Q00000X

Primary

Durable Medical Equipment & Medical Supplies

Code: 332B00000X

Nurse Practitioner

Code: 363L00000X

Practice Address

PO BOX 661587

SACRAMENTO, CA 958661587

Phone: 916-436-3015

NPI Enumeration Date

December 19, 2024

NPI Number

1396553616

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry