person
Mary Pat Degagne, PNP
Pediatric Nurse Practitioner in Santa Rosa, California
NPI 1326151374

Mary Pat Degagne is a Pediatric Nurse Practitioner based in Santa Rosa, CA and is specialized in Pediatrics. Mary Pat Degagne practices in Santa Rosa, CA and has the professional credentials of PNP. The NPI Number for Mary Pat Degagne is 1326151374 and holds a License No. 225 (California).

The current practice location address for Mary Pat Degagne is 500 Doyle Park Dr, Santa Rosa, CA and can be reached out via phone at 707-544-6090 and via fax at 707-544-2389.

Location: 500 Doyle Park Dr, Santa Rosa, CA, 95405-4558
person
Provider Profile Details
NPI Number
1326151374
Provider Name
Mary Pat Degagne
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
500 Doyle Park Dr, Santa Rosa, CA, 95405-4558
Phone Number
707-544-6090
Fax Number
707-544-2389
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
366801 RN 01 CA RN LICENSE
institution
Provider Business Practice Location Address Details
Address
500 Doyle Park Dr
City
State
Zip
95405-4558
Phone Number
707-544-6090
Fax Number
707-544-2389
person
Provider Business Mailing Address Details
Address
500 Doyle Park Dr
City
State
Zip
95405-4558
Phone Number
707-544-6090
Fax Number
707-544-2389
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
225 (California)
Definition
Definition to come...
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