Healthcare Provider Details

I. General information

NPI: 1861302903
Provider Name (Legal Business Name): MRS. DENA RASHELL PEETS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 BARNEY RD
ANDERSON CA
96007-4301
US

IV. Provider business mailing address

1650 SHASTA ST
ANDERSON CA
96007-3247
US

V. Phone/Fax

Practice location:
  • Phone: 916-642-7800
  • Fax: 530-239-7547
Mailing address:
  • Phone: 530-561-0403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number262918
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: