Healthcare Provider Details

I. General information

NPI: 1740309921
Provider Name (Legal Business Name): PAULINE A. GEHRMANN F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 RIO LINDO AVE SUITE 300
CHICO CA
95926-1827
US

IV. Provider business mailing address

670 RIO LINDO AVE SUITE 300
CHICO CA
95926-1827
US

V. Phone/Fax

Practice location:
  • Phone: 530-899-7120
  • Fax: 530-899-3647
Mailing address:
  • Phone: 530-899-7120
  • Fax: 530-899-3647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP16880
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: