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NPI Code Detail

MEDICARE: MISS DEBRA JOY KLIPPER MSNNP

MEDICARE: MISS DEBRA JOY KLIPPER MSNNP
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
1363LA2200XAdult Health Nurse Practitioner543710CA
2261QA0005XAmbulatory Family Planning Facility543710CA

General Provider Information

NPI Number : 1699059253
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DEBRA JOY KLIPPER MSNNP
Provider Business Mailing Address
First Line : 1467 DEAUVILLE PLACE
Second Line :
City : COSTA MESA
State : CA
Zip : 92626
Country : US
Telephone Number : 714-473-0280
Fax Number :
Provider Business Practice Location Address
First Line : 601 W 19TH ST
Second Line : SUITE A
City : COSTA MESA
State : CA
Zip : 92627-5060
Country : US
Telephone Number : 714-922-4194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2011
Last Update Date : 02/15/2012

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Directions to “ MISS DEBRA JOY KLIPPER MSNNP” Practice Location

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