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NPI Code Detail

MEDICARE: DEBORAH ANN HARTSFIELD CRNFA

MEDICARE: DEBORAH ANN HARTSFIELD CRNFA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WR0006XRegistered Nurse First Assistant334653CA

General Provider Information

NPI Number : 1376781500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN HARTSFIELD CRNFA
Provider Business Mailing Address
First Line : 5033 GEORGETOWN AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-1347
Country : US
Telephone Number : 858-775-7632
Fax Number :
Provider Business Practice Location Address
First Line : 5033 GEORGETOWN AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-1347
Country : US
Telephone Number : 858-775-7632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2009
Last Update Date : 01/26/2009

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Directions to “ DEBORAH ANN HARTSFIELD CRNFA” Practice Location

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