Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracey Iyamu-Sanusi, FNP

Individual provider Family Nurse Practitioner · NPI 1093087595

Tracey Iyamu-Sanusi, FNP is a Family Nurse Practitioner in Elk Grove, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5040 Laguna Blvd
Elk Grove, CA 95758-4147
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 89 W March Ln, Stockton, CA 95207-5721 — (209) 478-2622

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95009824 (CA)

Record details

NPI number1093087595
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 31, 2012
Last updated in NPPESNovember 8, 2022
Certification dateAugust 4, 2022

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