Individual
SHERRILL DIANE PETHERBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
736 W JASMINE CIR, SANTA ROSA, CA 95407-6778
(707) 431-6387
Mailing address
736 W. JASMINE CIRCLE, SANTA ROSA, CA 95407-6778
(707) 431-6387
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
NP11649
CA
Other
Enumeration date
06/19/2008
Last updated
09/08/2011
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