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Individual
PENELOPE SUE APPLEGARTH
Active
Individual
PENELOPE SUE APPLEGARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
388066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356344758
—
CA
05
—
1598768962
—
CA
01
—
ZZZ21461Z
MEDICARE PART B
CA
01
—
ZZZ23666Z
BLUE SHIELD PIN
—
01
—
ZZZ73222Z
MEDICARE PART B
—
Enumeration date
07/03/2008
Last updated
07/03/2008
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