Healthcare Provider Details

I. General information

NPI: 1801961727
Provider Name (Legal Business Name): PAUL M DEUS RNFA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MARGO CT
NAPA CA
94558
US

IV. Provider business mailing address

7 MARGO CT
NAPA CA
94558-4537
US

V. Phone/Fax

Practice location:
  • Phone: 707-224-7307
  • Fax: 707-224-7307
Mailing address:
  • Phone: 707-224-7307
  • Fax: 707-224-7307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number546758
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: