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Individual
ANNA MARIE MAAGDENBERG
Active
Individual
ANNA MARIE MAAGDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
G25706
CA
363LG0600X
Gerontology Nurse Practitioner
G25706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G25706
CA RN/LP LISCENCE
CA
01
—
ZZZ96273Z
GROUP MEDICARE PIN RENDERING UNDER
CA
Enumeration date
09/21/2009
Last updated
09/21/2009
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