Individual
ERWIN LUMAGUI CRISENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3249 VILLAGE CENTER DR, ROSEVILLE, CA 95747-9014
(916) 865-6841
Mailing address
3249 VILLAGE CENTER DR, ROSEVILLE, CA 95747-9014
(916) 865-6841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95019460
CA BOARD OF REGISTERED NURSING, NURSE PRACTITIONER FURNISHING
CA
Enumeration date
02/08/2023
Last updated
02/08/2023
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