Provider Demographics
NPI:1437893435
Name:VRANICH, REBECCA LAYNE (RN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LAYNE
Last Name:VRANICH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOWS
Mailing Address - State:CA
Mailing Address - Zip Code:95988-2022
Mailing Address - Country:US
Mailing Address - Phone:530-864-6014
Mailing Address - Fax:
Practice Address - Street 1:853 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:WILLOWS
Practice Address - State:CA
Practice Address - Zip Code:95988-2022
Practice Address - Country:US
Practice Address - Phone:530-864-6014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA835039163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency