Christy Rae Bascochea, RN
Individual provider Active NPI Registered Nurse · Fortuna, CA
NPI 1316447808 · NPPES record last updated Feb 20, 2018
Key facts
- NPI
- 1316447808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 622971 (CA)
- Practice address
- 3306 Renner Dr
Fortuna, CA 95540-3120 - Phone
- (707) 725-6101
- Fax
- (707) 725-2978
- NPI assigned
- Feb 20, 2018
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622971 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 622971 | CA | Yes |
Addresses
Primary practice location
3306 Renner Dr
Fortuna, CA 95540-3120
Mailing address
670 9TH St Ste 203
Arcata, CA 95521-6249
Phone (707) 826-8633
Other providers in Fortuna, CA
- Jane Scott Anderson
- Stefanie Ellen Anderson
- John Richard Aragon
- April Ash
- Gary Hungerford Baker
- Michael Peter Belluscio
- Elaine K Bettiga
- Andrew Allen Billings
- Brandon Eugene Bireley
- Diederik-Jan Frederick Bouwmeester
All providers in Fortuna, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2018. 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.