Fossen, Deanna
Fossen, Deanna is an individual health care provider with primary practice located at 680 Guzzi Ln Suite 105, Sonora CA 95370-5288. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fossen, Deanna can be contacted via phone (209) 532-0126.Contact Information
Primary practice address
680 Guzzi Ln Suite 105
Sonora CA 95370-5288
Phone: (209) 532-0126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 19538 | California |
Profile Details
| NPI number | 1487104899 |
|---|---|
| LBN Legal business name | Fossen, Deanna |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2016 |
| Last updated | Oct 10th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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