Mary Pat Degagne in Santa Rosa - Pediatrics
Mary Pat Degagne - NPI 1326151374
Mary Pat Degagne is a Pediatrics in Santa Rosa, California. Mary Pat Degagne practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Pat Degagne is 1326151374. The last update date is 2007-07-08.
Mary Pat Degagne's current location address is 500 Doyle Park Dr, Santa Rosa, California. You can contact this provider via phone number 7075446090 and fax number 7075442389. The mailing address for Mary Pat Degagne is 500 Doyle Park Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Pat Degagne |
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Address | 500 Doyle Park Dr, Santa Rosa, California |
Phone Number | 7075446090 |
Fax Number | 7075442389 |
Sole Proprietor | N |
Credentials | PNP |
NPI Number Detail
NPI Number | 1326151374 |
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Provider Enumeration Date | 2006-08-16 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 500 Doyle Park Dr |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954054558 |
Phone Number | 7075446090 |
Fax Number | 7075442389 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 363Lp0200X |
Licence No | 225 |
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
366801 RN | CA | RN LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Pat Degagne by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Pat Degagne has been assigned the NPI (National Provider Identifier) 1326151374. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mary Pat Degagne's facilities are situated?
The facilities of Mary Pat Degagne are physically located at the following address: 500 Doyle Park Dr, Santa Rosa, CA, 954054558.
What is Mary Pat Degagne's area of expertise and its corresponding taxonomy classification?
The Mary Pat Degagne's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did Mary Pat Degagne receive its 1326151374 assignment from the Centers for Medicare & Medicaid Services?
The Mary Pat Degagne was assigned its 1326151374 on 2006-08-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary Pat Degagne, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Pat Degagne, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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