Healthcare Provider Details

I. General information

NPI: 1336826171
Provider Name (Legal Business Name): LOUISE IRENE RANIT MSN, RN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRENE RANIT MSN, RN, PMHNP-BC

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 E CHEVY CHASE DR STE 200
GLENDALE CA
91206-4139
US

IV. Provider business mailing address

2108 N ST STE N
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 747-247-5700
  • Fax:
Mailing address:
  • Phone: 818-294-5381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95025480
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95025480
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95211385
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number95211385
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: