Healthcare Provider Details

I. General information

NPI: 1598071193
Provider Name (Legal Business Name): DEBORAH JO EFFINGER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEBBIE JO EFFINGER N.P.

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 09/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31493 RANCHO PUEBLO RD STE 107
TEMECULA CA
92592-4833
US

IV. Provider business mailing address

31493 RANCHO PUEBLO RD STE 107
TEMECULA CA
92592-4833
US

V. Phone/Fax

Practice location:
  • Phone: 951-303-3337
  • Fax: 951-303-2810
Mailing address:
  • Phone: 951-440-0797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number19309
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: