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NPI Code Detail

MEDICARE: SHERYL FAYE SOBIN RN, FNP

MEDICARE:   SHERYL FAYE SOBIN  RN, FNP
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
1207Q00000XFamily Medicine PhysicianRN 246718CA

General Provider Information

NPI Number : 1922139856
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERYL FAYE SOBIN RN, FNP
Provider Business Mailing Address
First Line : PO BOX 414
Second Line : 301 MOLINO CREEK FARM RD
City : DAVENPORT
State : CA
Zip : 95017-0414
Country : US
Telephone Number : 831-818-2136
Fax Number :
Provider Business Practice Location Address
First Line : 1156 HIGH STREET
Second Line : UNIVERSITY OF CALIFORNIA SANTA CRUZ STUDENT HEALTH
City : SANTA CRUZ
State : CA
Zip : 95064
Country : US
Telephone Number : 831-459-3952
Fax Number : 831-459-3546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 07/08/2007

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