Richelle Bornales, is a
Student In An Organized Health Care Education/training Program based in Vacaville, California. Richelle Bornales is licensed to practice in * (Not Available) (license number ) and her current practice location is
3912 Rustic Ln, Vacaville, California. She can be reached at her office (for appointments etc.) via phone at
(917) 513-7667.
NPI number for Richelle Bornales is 1295572436 and her current mailing address is 3912 Rustic Ln, Vacaville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295572436.
Provider's Profile
| Full Name | Richelle Bornales |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3912 Rustic Ln, Vacaville, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295572436
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 07/15/2024
Medical Identifiers
Medical identifiers for Richelle Bornales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295572436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 95335432 (California) | Secondary |
| 163WM0705X | Registered Nurse - Medical-surgical | 95335432 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richelle Bornales is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Richelle Bornales,
3912 Rustic Ln,
Vacaville, CA 95688-9762
Ph: (917) 513-7667 | Richelle Bornales,
3912 Rustic Ln,
Vacaville, CA 95688-9762
Ph: (917) 513-7667 |
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