Provider Demographics
NPI:1558099671
Name:LORICO, RUZZIEL BARCIAL (FNP-C)
Entity Type:Individual
Prefix:
First Name:RUZZIEL
Middle Name:BARCIAL
Last Name:LORICO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 N MARINER WAY
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-7716
Mailing Address - Country:US
Mailing Address - Phone:409-225-2158
Mailing Address - Fax:
Practice Address - Street 1:8615 KNOTT AVE STE 3
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-3886
Practice Address - Country:US
Practice Address - Phone:714-527-4833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily