Doctor Name: | GIZELLA MARIA RAYMOND |
NPI Number: | 1003016841 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P., R.N. |
License Number: | 293794 |
Business Practice Address: | 10333 El Camino Real Atascadero, CA - 934225808 |
Business Phone Number: | 8054683007 |
Business Fax Number: | |
Mailing Address: | 2641 Koa Ave, MORRO BAY |
State: | CA |
Postal Code: | 934421709 |
Phone Number: | 8057719050 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 293794 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |