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Organization
NURSE PRACTITIONERS OF CALIFORNIA
Active
Organization
NURSE PRACTITIONERS OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LOUISE SHANNON N.P. (FOUNDER)
(951) 852-8505
Entity
Organization
Contact information
Practice address
25105 CLOVER CREEK LN, MENIFEE, CA 92584-8456
(951) 852-8505
(951) 746-3496
Mailing address
26025 NEWPORT ROAD, SUITE A 305, MENIFEE, CA 92584
(951) 852-8505
(951) 746-3496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18946
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
18946
CA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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