Doctor Name: | MRS. SHARON FAYE DEBUREN |
NPI Number: | 1235219239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | V163669 |
Business Practice Address: | 35 Via Los Altos Tiburon, CA - 949202059 |
Business Phone Number: | 4153831405 |
Business Fax Number: | |
Mailing Address: | 35 Via Los Altos, TIBURON |
State: | CA |
Postal Code: | 949202059 |
Phone Number: | 4153831405 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | V163669 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |