Healthcare Provider Details

I. General information

NPI: 1912840984
Provider Name (Legal Business Name): AMAIRANI LIZETTE GARCIA VILLEGAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 VICTOR AVE
REDDING CA
96002-0412
US

IV. Provider business mailing address

PO BOX 494369
REDDING CA
96049-4369
US

V. Phone/Fax

Practice location:
  • Phone: 530-221-0193
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95444784
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: