Crisostomo, Reginald

Crisostomo, Reginald is an individual health care provider with primary practice located at 1000 Trancas St , Napa CA 94558-2906. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Crisostomo, Reginald can be contacted via phone (707) 252-4412.

Contact Information

Primary practice address
1000 Trancas St Napa CA 94558-2906
Phone: (707) 252-4412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95017567 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95017567 California

Profile Details

NPI number 1245809557
LBN Legal business name Crisostomo, Reginald
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2021
Last updated Aug 15th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245809557 NPPES
California MEDICAID 0000

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