Cecilia Barron

Individual provider Active NPI Registered Nurse · Placerville, CA

NPI 1114575685 · NPPES record last updated Jan 8, 2020

Key facts

NPI
1114575685
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
828909 (CA)
Practice address
670 Placerville Dr
Placerville, CA 95667-4200
Phone
(530) 644-2412
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
828909CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 828909 CA Yes

Addresses

Primary practice location

670 Placerville Dr
Placerville, CA 95667-4200

Mailing address

670 Placerville Dr
Placerville, CA 95667-4200
Phone (530) 644-2412

Other providers in Placerville, CA

All providers in Placerville, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.