Individual
NINA VARNER DEATHERAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., B.S.N., P.H.N
Contact information
Practice address
931 SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6320
(530) 295-2589
Mailing address
931 SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6320
(530) 295-2589
Taxonomy
Speciality
Code
Description
License number
State
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
320537
CA
Other
Enumeration date
04/03/2007
Last updated
10/29/2010
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