Individual
MISS DEIRDRE DEGENAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
15962 MOONFLOWER AVE, CHINO, CA 91708
(909) 287-3312
Mailing address
15962 MOONFLOWER AVE, CHINO, CA 91708
(909) 287-3312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
520579
CA
176B00000X
Midwife
—
CA
363LW0102X
Women's Health Nurse Practitioner
95008003
CA
Other
Enumeration date
12/19/2017
Last updated
07/21/2022
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