Active Life Wound Center a Professional Medical Corporation
Active Life Wound Center a Professional Medical Corporation is a Wound Care Registered Nurse in Sacramento, California. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 5
Practice location Address checks out
2 Scripps Dr Ste 202Sacramento, CA 95825-6207
Phone: (916) 436-3015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Wound Care Registered Nurse | Taxonomy 163WW0000X |
| Dermatology Physician | Taxonomy 207N00000X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1396553616 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Souza — Compliance Manager · (916) 436-3015 |
| Other names | Active Life Wound Center |
| NPI enumerated | December 19, 2024 |
| Last updated in NPPES | December 19, 2024 |
| Certification date | December 19, 2024 |
| Mailing address | Po Box 661587, Sacramento, CA 95866-1587 |
Other providers in Sacramento
-
Crina Stockwell, NP
87 Scripps Dr Ste 200, Sacramento, CA 95825-6381 · (916) 436-3015