Doctor Name: | MRS. TONI DANETTE DELA MEROT |
NPI Number: | 1447278601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 676386 NP16382 |
Business Practice Address: | 242 E Harvard Blvd Suite C Santa Paula, CA - 930603372 |
Business Phone Number: | 8055259595 |
Business Fax Number: | 8055256667 |
Mailing Address: | 5855 Olivas Park Dr, VENTURA |
State: | CA |
Postal Code: | 930037672 |
Phone Number: | 8056672801 |
Fax Number: | 8056672865 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 12/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 676386 NP16382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |