Individual provider · Type 1 NPI

Dianne Camille Cea Mallari-Requillo, NP

Family Nurse Practitioner · Roseville, CA

NPI number 1306793047 Active

Practice location

6105 Waddington Way
Roseville, CA 95747-4550

Call (510) 512-8275 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95038941 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1306793047

Dianne Camille Cea Mallari-Requillo, NP's National Provider Identifier is 1306793047, issued on Mar 12, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roseville, CA. The record was last updated on Mar 12, 2026.