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NPI Code Detail

MEDICARE: TAMBRA LAJOY RATLEDGE FNP-C

MEDICARE: TAMBRA LAJOY RATLEDGE FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95021665CA
2163W00000XRegistered Nurse739351CA

General Provider Information

NPI Number : 1689307779
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMBRA LAJOY RATLEDGE FNP-C
Provider Business Mailing Address
First Line : 195 PAGE MILL RD STE 103
Second Line :
City : PALO ALTO
State : CA
Zip : 94306-2073
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 1035 S MAIN AVE
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-3338
Country : US
Telephone Number : 760-291-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2022
Last Update Date : 04/15/2026

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Directions to “ TAMBRA LAJOY RATLEDGE FNP-C” Practice Location

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