Provider Demographics
NPI:1588776363
Name:KRAMER, MARLENE SUE (FNP)
Entity type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:SUE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6013
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95604-6013
Mailing Address - Country:US
Mailing Address - Phone:530-889-6304
Mailing Address - Fax:530-889-6303
Practice Address - Street 1:3227 PROFESSIONAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-2414
Practice Address - Country:US
Practice Address - Phone:530-889-6300
Practice Address - Fax:530-889-6303
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA246349363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA246349OtherLICENSE
CA246349OtherLICENSE