Healthcare Provider Details

I. General information

NPI: 1285656165
Provider Name (Legal Business Name): MIRIAM LAURA TAPIA DNP, FNP-C, PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TRANCAS ST STE 250
NAPA CA
94558-2909
US

IV. Provider business mailing address

1100 TRANCAS ST STE 250
NAPA CA
94558-2909
US

V. Phone/Fax

Practice location:
  • Phone: 707-253-1135
  • Fax: 707-253-1251
Mailing address:
  • Phone: 707-253-1135
  • Fax: 707-253-1251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13887
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: