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Miss Waraporn M Denjalearn, NP
Nurse Practitioner in Stockton, California
NPI 1669760310

Waraporn M Denjalearn is a Nurse Practitioner based in Indianapolis, CA. Waraporn M Denjalearn practices in Stockton, CA and has the professional credentials of NP. The NPI Number for Waraporn M Denjalearn is 1669760310 and holds a License No. 117578 (California).

The current practice location address for Waraporn M Denjalearn is 1800 N California St, Stockton, CA and can be reached out via phone at 951-852-6341.

Location: 1800 N California St, Stockton, CA, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669760310
Provider Name
Waraporn M Denjalearn
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1800 N California St, Stockton, CA, 46219-4959
Phone Number
951-852-6341
Fax Number
Provider Enumeration Date
07/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300055568 05 IN
institution
Provider Business Practice Location Address Details
Address
1800 N California St
City
Stockton
State
California
Zip
95204-6019
Phone Number
951-852-6341
Fax Number
person
Provider Business Mailing Address Details
Address
1800 N California St
City
Stockton
State
California
Zip
95204-6019
Phone Number
951-852-6341
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
NP21483 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP21483 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
117578 (West Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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