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ELIZABETH J NAGLE FNP

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

Registrant NPI Number: 1851379705

Individual Registrant:
 ELIZABETH J NAGLE FNP
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

Contact information for business:
PO BOX 1100  GUALALA, CA 95445-1100 US
Tel: 707-884-4005  Fax: 707-884-4625

Registration Information:
NPI: 1851379705
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CAZZZ26736Z

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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