Healthcare Provider Details

I. General information

NPI: 1679777882
Provider Name (Legal Business Name): DEBBIE ANNE SUNSTRONG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S TUSTIN ST
ORANGE CA
92866-3425
US

IV. Provider business mailing address

31173 ENSEMBLE DRIVE
MENIFEE CA
92584
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-6373
  • Fax:
Mailing address:
  • Phone: 951-246-8077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number269582
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: