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PENELOPE SUE APPLEGARTH FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1578726139
Individual Registrant: PENELOPE SUE APPLEGARTH FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
14045 MILL ST GUERNEVILLE, CA 95446-8303 US
Tel: 707-874-2444 Fax: --
Tel: 707-874-2444 Fax: --
Contact information for business:
14045 MILL ST GUERNEVILLE, CA 95446-8303 US
Tel: 707-874-2444 Fax: --
Tel: 707-874-2444 Fax: --
Registration Information:
NPI: 1578726139
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 | 388066 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE PART B | ZZZ21461Z | CA | 01 |
| 1598768962 | CA | 05 | |
| BLUE SHIELD PIN | ZZZ23666Z | 01 | |
| 1356344758 | CA | 05 | |
| MEDICARE PART B | ZZZ73222Z | 01 |
