Individual
DAYNA IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
190 S OAK AVE, BLDG 2, STE 1, OAKDALE, CA 95361-3528
(209) 848-8410
(209) 848-0732
Mailing address
190 S OAK AVE, BLDG 2, STE 1, OAKDALE, CA 95361-3528
(209) 848-8410
(209) 848-0732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95119825
CA
363LF0000X
Family Nurse Practitioner
Primary
95011857
CA
Other
Enumeration date
02/24/2017
Last updated
06/20/2019
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