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NPI Code Detail

MEDICARE: SHERRI L PURPORA N.P.

MEDICARE: SHERRI L PURPORA N.P.
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
1363LX0001XObstetrics & Gynecology Nurse PractitionerRN342755CA

General Provider Information

NPI Number : 1871620724
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRI L PURPORA N.P.
Provider Business Mailing Address
First Line : 1177 N PARK AVE
Second Line :
City : POMONA
State : CA
Zip : 91768-3028
Country : US
Telephone Number : 909-623-9900
Fax Number : 909-623-1993
Provider Business Practice Location Address
First Line : 1177 N PARK AVE
Second Line :
City : POMONA
State : CA
Zip : 91768-3028
Country : US
Telephone Number : 909-623-9900
Fax Number : 909-623-1993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/08/2007

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1427235027 — SUSAN G. AQUINO NP
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1710233531 — MRS. BLANCA ANGELES GARIA RN NP
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Directions to “ SHERRI L PURPORA N.P.” Practice Location

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