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NPI Code Detail

MEDICARE: DONNA ANTON SPAAN

MEDICARE: DONNA ANTON SPAAN
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
1163WC0400XCase Management Registered Nurse79075CA
2163WC0400XCase Management Registered NurseRN68068NV

General Provider Information

NPI Number : 1427342740
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA ANTON SPAAN
Provider Business Mailing Address
First Line : 459-220 CARTWRIGHT RD
Second Line :
City : JANESVILLE
State : CA
Zip : 96114-9456
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5730 PACKARD AVE STE 100
Second Line :
City : MARYSVILLE
State : CA
Zip : 95901-7117
Country : US
Telephone Number : 530-749-6366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2011
Last Update Date : 06/03/2011

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Directions to “ DONNA ANTON SPAAN ” Practice Location

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