CRISTINA MANCILLAS RAMOS NP NPI 1912676081

NPI Information

NPI: 1912676081
Provider Name: CRISTINA MANCILLAS RAMOS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1179 N MCDOWELL BLVD
PETALUMA, CA
ZIP 94954
Phone: (707) 559-7500
Get Directions

Cristina Mancillas Ramos, NP is a family nurse practitioner in Petaluma, CA with 3 years of experience. Cristina Mancillas Ramos, NP NPI is 1912676081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1179 N MCDOWELL BLVD
PETALUMA, CA
ZIP 94954-559
Phone: (707) 559-7500
Fax: (707) 559-7620

The NPI 1912676081 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/10/2021 and was last updated on 10/22/2021.

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
1	163W00000X	Registered Nurse		790390	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95018503	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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