PAMELA DIANE ROUSE


Address: 12500 Bruceville Road, Elk Grove, CA 95757
Phone: 9168741866

PAMELA DIANE ROUSE (NPI# 1003906272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003906272
Entity Type Individual
Full Name PAMELA DIANE ROUSE
Credential RN
Practice Address 12500 Bruceville Road
Elk Grove
CA 95757
Mailing Address 1726 3rd Ave
Sacramento
CA 95818-3024
Practice Telephone 9168741866
Practice Fax Number 9168741926
Mailing Telephone 9164420327
Mailing Fax Number 9168741926
Enumeration Date 2006-10-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
RN281575 CA Nursing Service Providers

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Office Location

Street Address 12500 BRUCEVILLE ROAD
City ELK GROVE
State CA
Zip Code 95757

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447896600 Cassandra Jan Cassas I Behavior Technician 9832 Tundra Swan, Elk Grove, CA 95757 2019-11-22
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1033684865 Lua Davidson Behavioral Analyst 5504 Aspen Grove Ln, Elk Grove, CA 95757 2018-10-08
1821578386 Michele Elizabeth Amato Behavior Technician 8350 Lotz Parkway, Elk Grove, CA 95757 2018-08-15
1043759632 Costco Wholesale Corporation Pharmacy 7400 Elk Grove Boulevard, Elk Grove, CA 95757 2017-02-16
1497207351 Ron Dancy Genetic Counselor, MS 9864 West Taron Dr, Elk Grove, CA 95757 2016-10-26
1780051524 Jesselle Pablo Counselor 10227 Pedra Do Sol Way, Elk Grove, CA 95757 2015-08-27
1851708945 Yen Ngoc Hoang Pharmacist 8257 Hopewell Drive, Elk Grove, CA 95757 2014-07-21
1477742070 Nkechi Akudo Nzerem-johnson Pediatrics Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 2007-10-18
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811332778 Michael John Flores Esteban Registered Nurse 9999 Ferragamo Way, Elk Grove, CA 95757-3037 2013-05-06
1447410774 Gretel Erica Pate Registered Nurse 12500 Bruceville Rd, Elk Grove, CA 95757-9784 2008-06-10

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1033739677 Tiffany Venice Turner Registered Nurse 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 2020-04-23
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1689204265 Juvelyn Isip Ingal Registered Nurse 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 2020-01-22
1043859531 Klair Grace Registered Nurse 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 2019-12-31
1316588395 Batoul Salameh Registered Nurse 19204 Bension Dr, Santa Clarita, CA 91350-3797 2019-10-01
1851949580 Michael Perez Registered Nurse 25727 Mcbean Pkwy, Valencia, CA 91355-3704 2019-08-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1396390530 Trisha Lynne Basman Registered Nurse 939 Snow Dr, Martinez, CA 94553-4715 2019-08-05
1003378043 Ildefonso Silva Rodriguez Registered Nurse 2437 Woodcreek Rd, Camarillo, CA 93012-2537 2019-04-01
1518430842 Jesus Lim Registered Nurse 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 2019-01-09
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Competitor

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City ELK GROVE
Zip Code 95757

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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