IndividualActive
Ariemba Momanyi
NPI 1013789379 · General Practice Registered Nurse · Elk Grove, CA
Provider details
- NPI number
- 1013789379
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95205704 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
7945 Marla Way
Elk Grove, CA 95758-7232
Phone: (916) 220-2778
Approximate (ZIP-level) locationGet directions
Mailing address
7945 Marla Way
Elk Grove, CA 95758-7232
Registry dates
- Enumerated
- 2023-10-30
- Last updated
- 2023-10-30
- Certified
- 2023-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.