Doctor Name: | MRS. DEBORAH ROY SARGENT |
NPI Number: | 1063619872 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 371820 |
Business Practice Address: | 7075 Campus Rd Moorpark, CA - 930211605 |
Business Phone Number: | 8053791413 |
Business Fax Number: | |
Mailing Address: | 24004 Arminta St, WEST HILLS |
State: | CA |
Postal Code: | 913046141 |
Phone Number: | 8187048556 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 371820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |