Individual provider · Type 1 NPI
Nicole Renee Davis-Marenco, FNP
Nurse Practitioner · Modesto, CA
Practice location
4125 Bangs Ave
Modesto, CA 95356-8713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95028700 (CA) |
Nurse Practitioner: (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 wit…
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About NPI 1114788767
Nicole Renee Davis-Marenco, FNP's National Provider Identifier is 1114788767, issued on Jan 22, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Modesto, CA. The record was last updated on Jan 16, 2026.