Doctor Name: | MRS. CARMEN APRIL SEDGEMAN |
NPI Number: | 1154579290 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 16646 |
Business Practice Address: | 1500 East Duarte Road Duarte, CA - 91010 |
Business Phone Number: | 6262564673 |
Business Fax Number: | |
Mailing Address: | 6280 N San Gabriel Blvd, Apt. N SAN GABRIEL |
State: | CA |
Postal Code: | 917752460 |
Phone Number: | 6262854582 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2008 |
NPI Last Update Date: | 09/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 16646 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |