Renalyn Cedeno
Individual provider Active NPI Registered Nurse · Ceres, CA
NPI 1124443759 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1124443759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 834623 (CA)
- Practice address
- 1904 Richland Ave Ste a
Ceres, CA 95307-4562 - Phone
- (209) 300-8800
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 834623 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 834623 | CA | Yes |
Addresses
Primary practice location
1904 Richland Ave Ste a
Ceres, CA 95307-4562
Mailing address
1212 W Center St Apt 83
Manteca, CA 95337-4220
Phone (408) 406-8043
Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.