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DEBRA K. FENTON NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1316928807

Individual Registrant:
 DEBRA K. FENTON NP
Gender: F

Location and contact information for practice:
750 OLD LUCERNE RD  UPPER LAKE, CA 95485-8755 US
Tel: 707-275-9066  Fax: 707-275-9070

Contact information for business:
5516 OAK RIDGE DR  KELSEYVILLE, CA 95451-9374 US
Tel: 707-279-4489  Fax: 707-275-9066

Registration Information:
NPI: 1316928807
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA332923

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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