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Organization

PRIEST NP SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA BAKERJIAN PHD, FNP (CEO OWNER)
(415) 899-9800
Entity
Organization

Contact information

Practice address
750 GRANT AVE, SUITE 150, NOVATO, CA 94945-7001
(415) 899-9800
(415) 899-9805
Mailing address
750 GRANT AVE, SUITE 150, NOVATO, CA 94945-7001
(415) 899-9800
(415) 899-9805

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
169169
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
284559
CA
363LG0600X
Gerontology Nurse Practitioner
312821
CA
363LG0600X
Gerontology Nurse Practitioner
385529
CA
363LG0600X
Gerontology Nurse Practitioner
443622
CA
363LG0600X
Gerontology Nurse Practitioner
484393
CA
363LG0600X
Gerontology Nurse Practitioner
514203
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GNP000100
CA
Enumeration date
12/06/2006
Last updated
03/22/2008
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