NATHANIEL RABANG RAFANAN RN NPI 1053721613

NPI Information

NPI: 1053721613
Provider Name: NATHANIEL RABANG RAFANAN, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1912 LAKESHORE DR
LODI, CA
ZIP 95242
Phone: (209) 612-6373
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Nathaniel Rabang Rafanan, RN is a psychiatric/mental health registered nurse in Lodi, CA. Nathaniel Rabang Rafanan, RN NPI is 1053721613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1912 LAKESHORE DR
LODI, CA
ZIP 95242-232
Phone: (209) 612-6373

The enumeration date for this NPI number is 5/5/2014 and was last updated on 5/5/2014.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	808628	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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