Provider Demographics
NPI:1841154812
Name:GAYTAN HERNANDEZ, FLORENCIA
Entity type:Individual
Prefix:
First Name:FLORENCIA
Middle Name:
Last Name:GAYTAN HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 CONNORS CT STE A
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1138
Mailing Address - Country:US
Mailing Address - Phone:530-330-8017
Mailing Address - Fax:530-330-8018
Practice Address - Street 1:377 CONNORS CT STE A
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1138
Practice Address - Country:US
Practice Address - Phone:530-330-8017
Practice Address - Fax:530-330-8018
Is Sole Proprietor?:No
Enumeration Date:2025-12-12
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
CAE164167146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic