Provider Demographics
NPI:1255993531
Name:RONCI, MAY THERESE (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:MAY
Middle Name:THERESE
Last Name:RONCI
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41529 POPLAR CIR
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-2814
Mailing Address - Country:US
Mailing Address - Phone:661-478-2302
Mailing Address - Fax:
Practice Address - Street 1:42442 10TH ST W STE E
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7067
Practice Address - Country:US
Practice Address - Phone:661-951-1146
Practice Address - Fax:661-951-9882
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95012096363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology