MRS. LANETTE GRESHAM


Address: 4918 Ridgefield Cir, Fairfield, CA 94534-6432
Phone: 7072903048

MRS. LANETTE GRESHAM (NPI# 1346669074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346669074
Entity Type Individual
Full Name MRS. LANETTE GRESHAM
Credential RN, BSN, MSN, FNP-BC
Practice Address 4918 Ridgefield Cir
Fairfield
CA 94534-6432
Practice Telephone 7072903048
Mailing Telephone 7072903048
Enumeration Date 2014-04-09
Last Update Date 2014-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2013017795 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4918 RIDGEFIELD CIR
City FAIRFIELD
State CA
Zip Code 94534-6432

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1972906048 Kathleen Therese Omeara Psychologist 4416 Starflower Ct., Fairfield, CA 94534 2014-10-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1932724168 Baljit Dhillon Nurse Practitioner 5140 Duren Cir, Fairfield, CA 94533-8978 2020-06-12
1164083168 Michelle Setliff Nurse Practitioner 1261 Travis Blvd Ste 170, Fairfield, CA 94533-4825 2019-06-21
1528545845 Gerarda Pires Nurse Practitioner 1305 Post Rd Ste 310, Fairfield, CT 06824-6016 2018-07-20
1063904407 Peter Nicholas Brehmer Nurse Practitioner 239 Greenfield St, Fairfield, CT 06825-4401 2018-06-01
1447765698 Mae Jennifer Le Nurse Practitioner 1261 Travis Blvd Ste 150, Fairfield, CA 94533-4800 2017-12-11
1093168825 Elizabeth Sarah Carson Nurse Practitioner 4910 Fairfield Rd, Fairfield, PA 17320-9510 2016-07-17
1083061550 Tammera Phipps Nurse Practitioner 1168 N Frieda Dr, Fairfield, OH 45014-3316 2016-05-15
1700250883 Aneet K Grewal Nurse Practitioner 4422 Meadow Valley Cir, Fairfield, CA 94534-6671 2015-11-30
1104200716 Latonia Yvette Cushingberry Nurse Practitioner 154 Twin Lakes Dr, Fairfield, OH 45014-5257 2015-07-13
1831518398 Prompt Care Healthcare Solutions On The Go, Plc Nurse Practitioner 2709 W Briggs Ave Apt 1, Fairfield, IA 52556-2649 2014-04-14
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Competitor

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City FAIRFIELD
Zip Code 94534

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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