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NPI Code Detail

MEDICARE: ZHUOSHU DENG APRN, CPNP

MEDICARE: ZHUOSHU DENG APRN, CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner12.007188CT

General Provider Information

NPI Number : 1275050056
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZHUOSHU DENG APRN, CPNP
Provider Business Mailing Address
First Line : 1650 WALNUT ST
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1606
Country : US
Telephone Number : 510-848-2566
Fax Number :
Provider Business Practice Location Address
First Line : 1650 WALNUT ST
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1606
Country : US
Telephone Number : 203-503-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2017
Last Update Date : 11/15/2021

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