Medrano, Gay R
Medrano, Gay R is an individual health care provider with primary practice located at 3 Medical Plaza Dr Ste 140 , Roseville CA 95661-3088. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Medrano, Gay R can be contacted via phone (916) 797-4715.Contact Information
Primary practice address
3 Medical Plaza Dr Ste 140
Roseville CA 95661-3088
Phone: (916) 797-4715
Fax: (916) 797-4716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP12620 | California |
Profile Details
| NPI number | 1518069889 |
|---|---|
| LBN Legal business name | Medrano, Gay R |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518069889 | NPPES |
| California | Other | NP12620 | PROFESSIONAL LICENSE |
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