CARRI RANIE LAKES NP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1134609415- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 6109 W RAMSEY ST, BANNING, CA, 922203051
- Phone
- (951) 845-0313
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: CA #721880
Nurse Practitioner
Primary License: CA #95010216