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Individual

DENISE LORRIE SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ANP-BC

Contact information

Practice address
1874 EMILY LN, LINCOLN, CA 95648-8644
(916) 300-1536
Mailing address
1874 EMILY LN, LINCOLN, CA 95648-8644
(916) 300-1536

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
378173
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
378173
CA
363LX0106X
Occupational Health Nurse Practitioner
378173
CA

Other

Enumeration date
04/23/2008
Last updated
07/25/2013
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