Healthcare Provider Details
I. General information
NPI: 1659207744
Provider Name (Legal Business Name): GRESELDA RAMIREZ LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16 NEW DAWN CIR
CHICO CA
95928-6811
US
IV. Provider business mailing address
16 NEW DAWN CIR
CHICO CA
95928-6811
US
V. Phone/Fax
- Phone: 530-514-2766
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 164X00000X |
| Taxonomy | Licensed Vocational Nurse |
| License Number | 285187 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: