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MS. DEBORAH LOUISE ANDERSON NURSE PRACTITIONER

Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1174774368

Individual Registrant:
MS. DEBORAH LOUISE ANDERSON NURSE PRACTITIONER
Gender: F
Sole Proprietor

Location and contact information for practice:
13010 HESPERIA RD SUITE 200 VICTORVILLE, CA 92395-5837 US
Tel: 760-243-4009  Fax: --

Contact information for business:
13010 HESPERIA RD SUITE 200 VICTORVILLE, CA 92395-5837 US
Tel: 760-243-4009  Fax: --

Registration Information:
NPI: 1174774368
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Acute Care
CA16832

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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