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Ericson P Reyes
Nurse Practitioner in Lakewood, California
NPI 1740397413

Ericson P Reyes is a Nurse Practitioner based in Lakewood, CA. Ericson P Reyes practices in Lakewood, CA. The NPI Number for Ericson P Reyes is 1740397413 and holds a License No. NP15834 (California).

The current practice location address for Ericson P Reyes is 3300 E South St Ste 308, Lakewood, CA and can be reached out via phone at 562-630-3111 and via fax at 562-630-3107.

Location: 3300 E South St Ste 308, Lakewood, CA, 90714-0879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740397413
Provider Name
Ericson P Reyes
Credential
Provider Entity Type
Individual
Gender
Male
Address
3300 E South St Ste 308, Lakewood, CA, 90714-0879
Phone Number
562-630-3111
Fax Number
562-630-3107
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP15834 01 CA NURSE PRACTITIONER LICENS
515085 01 CA RN LICENSE
institution
Provider Business Practice Location Address Details
Address
3300 E South St Ste 308
City
Lakewood
State
California
Zip
90805-4598
Phone Number
562-630-3111
Fax Number
562-630-3107
person
Provider Business Mailing Address Details
Address
3300 E South St Ste 308
City
Lakewood
State
California
Zip
90805-4598
Phone Number
562-630-3111
Fax Number
562-630-3107
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP15834 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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