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DANE LEE NESTOR FNP
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1629554571
Individual Registrant: DANE LEE NESTOR FNP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
146 N HILL ST ARVIN, CA 93203-1014 US
Tel: 661-855-4468 Fax: --
Tel: 661-855-4468 Fax: --
Contact information for business:
146 N HILL ST ARVIN, CA 93203-1014 US
Tel: 661-304-4149 Fax: --
Tel: 661-304-4149 Fax: --
Registration Information:
NPI: 1629554571
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163W00000X | Nursing Service Providers Registered Nurse | CA | 843915 |
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95009915 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
