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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1518069889 NPPES
California Other NP12620 PROFESSIONAL LICENSE

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