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PENELOPE SUE APPLEGARTH FNP

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

Registrant NPI Number: 1578726139

Individual Registrant:
 PENELOPE SUE APPLEGARTH FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
14045 MILL ST  GUERNEVILLE, CA 95446-8303 US
Tel: 707-874-2444  Fax: --

Contact information for business:
14045 MILL ST  GUERNEVILLE, CA 95446-8303 US
Tel: 707-874-2444  Fax: --

Registration Information:
NPI: 1578726139
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA388066

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE PART BZZZ21461ZCA01
1598768962CA05
BLUE SHIELD PINZZZ23666Z01
1356344758CA05
MEDICARE PART BZZZ73222Z01




HEALTH CARE JOBS CA - Page 1



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