Individual
DEBRA BAKERJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSN, APRN, FNP
Contact information
Practice address
2570 48TH ST STE 2145, SACRAMENTO, CA 95817-1541
(916) 734-7124
Mailing address
5150 FAIR OAKS BLVD # 101-333, CARMICHAEL, CA 95608-5758
(415) 302-9500
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284559
RN LICENSE NUMBER
CA
01
—
4924
NP LICENSE NUMBER
CA
05
—
NP0049240
—
CA
Enumeration date
06/22/2006
Last updated
03/07/2023
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