Individual
DONNA C DESSAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19361 BEACH BLVD, HUNTINGTON BEACH, CA 92648-2503
(714) 960-4500
(714) 960-7133
Mailing address
PO BOX 1874, SUISUN CITY, CA 94585-4874
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB432684
MEDICARE PTAN
CA
Enumeration date
02/16/2015
Last updated
01/15/2024
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