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ELIZABETH J NAGLE FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1851379705
Individual Registrant: ELIZABETH J NAGLE FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
46900 OCEAN DR GUALALA, CA 95445-8353 US
Tel: 707-884-4005 Fax: 707-884-4625
Tel: 707-884-4005 Fax: 707-884-4625
Contact information for business:
PO BOX 1100 GUALALA, CA 95445-1100 US
Tel: 707-884-4005 Fax: 707-884-4625
Tel: 707-884-4005 Fax: 707-884-4625
Registration Information:
NPI: 1851379705
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CA | ZZZ26736Z |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
