Individual provider · Type 1 NPI
Lyra Fumiko Ronquillo Chua
Nurse Practitioner · Napa, CA
Practice location
2160 Jefferson St Ste 260
Napa, CA 94559-1252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95014510 (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 1407404387
Lyra Fumiko Ronquillo Chua's National Provider Identifier is 1407404387, issued on Sep 3, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Napa, CA. The record was last updated on May 15, 2026.