Individual provider · Type 1 NPI

Rommel B. Gayagoy, FNP

Nurse Practitioner · Clearlake, CA

NPI number 1780140046 Active

Practice location

15230 Lakeshore Dr
Clearlake, CA 95422-8107

Call (707) 995-4500 Map

Mailing address

10140 Tank House Dr
Stockton, CA 95209-4335

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95010310 (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 1780140046

Rommel B. Gayagoy, FNP's National Provider Identifier is 1780140046, issued on Feb 12, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clearlake, CA. The record was last updated on Feb 12, 2019.