Doctor Name: | DENNIS QUEEN |
NPI Number: | 1013115583 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.N. |
License Number: | RN525119 |
Business Practice Address: | 260 E 15th St Merced Co. Public Health Merced, CA - 953400112 |
Business Phone Number: | 2093811204 |
Business Fax Number: | 2093811173 |
Mailing Address: | 260 E 15th St, Merced Co. Public Health MERCED |
State: | CA |
Postal Code: | 953400112 |
Phone Number: | 2093811204 |
Fax Number: | 2093811173 |
NPI Enumeration Date: | 07/06/2007 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN525119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |