Provider Demographics
NPI:1366933939
Name:AHRENHOLTZ, VIRGINA LOUISE (RN)
Entity type:Individual
Prefix:MRS
First Name:VIRGINA
Middle Name:LOUISE
Last Name:AHRENHOLTZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:VIRGINIA
Other - Middle Name:L
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1422 VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-1502
Mailing Address - Country:US
Mailing Address - Phone:707-718-7684
Mailing Address - Fax:
Practice Address - Street 1:145 GLASSON WAY
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5723
Practice Address - Country:US
Practice Address - Phone:530-470-2425
Practice Address - Fax:530-265-7027
Is Sole Proprietor?:No
Enumeration Date:2018-05-19
Last Update Date:2018-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA743265163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult