Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 732605 | CA |
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN LICENSE 732605 | CA |
N | 363LA2200X | Nurse Practitioner - Adult Health | RN LICENSE 732605 | CA |
N | 363LG0600X | Nurse Practitioner - Gerontology | RN LICENSE 732605 | CA |
NPI | 1033560743 |
---|---|
Provider Name | Ms. Ramina Ishaya |
First Address | West Hollywood, CA 90048-1804 |
Second Address | San Jose, CA 95131-1711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2016 |
Last Update Date | 10/08/2020 |