Healthcare Provider Details

I. General information

NPI: 1346287356
Provider Name (Legal Business Name): RENEE MARIE CARINI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 LAKESIDE VLG COMMONS
CHICO CA
95928-3979
US

IV. Provider business mailing address

15374 REESE RD
CHICO CA
95973-9451
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-5100
  • Fax:
Mailing address:
  • Phone: 530-343-0705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number425343
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: