Individual
MS. DOE DENISE GASQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
14758 HOPI RD, APPLE VALLEY, CA 92307-3536
(760) 486-1492
Mailing address
14758 HOPI RD, APPLE VALLEY, CA 92307-3536
(760) 486-1492
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R33733
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002401
—
ND
01
—
17731
CALIFORNIA BOARD OF NURSING
CA
01
—
556679
CALIFORNIA BOARD OF NURSING
CA
01
—
R33733
ND NURSING
ND
Enumeration date
10/01/2008
Last updated
08/28/2013
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