Individual
MS. GAY R MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3 MEDICAL PLAZA DR STE 140, ROSEVILLE, CA 95661-3088
(916) 797-4715
(916) 797-4716
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP12620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP12620
PROFESSIONAL LICENSE
CA
Enumeration date
09/05/2006
Last updated
07/14/2016
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