Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | NPF14570 | CA |
N | 363LA2200X | Nurse Practitioner - Adult Health | NPF14570 | CA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | NPF14570 | CA |
N | 363LW0102X | Nurse Practitioner - Women's Health | NPF14570 | CA |
NPI | 1588775167 |
---|---|
Provider Name | Janet C Gacuya |
First Address | Covina, CA 91723-2943 |
Second Address | Covina, CA 91723-2943 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q11765 | (02) | CA |