LAURENCE NIKKO CRISOSTOMO NP NPI 1760979637

NPI Information

  • NPI: 1760979637
  • Provider Name: LAURENCE NIKKO CRISOSTOMO, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 6617 TRONZANO WAY
    ELK GROVE, CA
    ZIP 95757
  • Phone: (916) 627-6663

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NPI Details

Laurence Nikko Crisostomo, NP is a family nurse practitioner in Elk Grove, CA. Laurence Nikko Crisostomo, NP NPI is 1760979637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6617 TRONZANO WAY
ELK GROVE, CA
ZIP 95757-057
Phone: (916) 627-6663

The enumeration date for this NPI number is 4/17/2018 and was last updated on 4/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNP95005664CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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