Healthcare Provider Details

I. General information

NPI: 1376749960
Provider Name (Legal Business Name): DENISE EVELYN JOYCE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1965 LIVE OAK BLVD
YUBA CITY CA
95991-8828
US

IV. Provider business mailing address

1683 MICHAEL WAY
YUBA CITY CA
95993-1623
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-7209
  • Fax:
Mailing address:
  • Phone: 530-790-7859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number282583
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: