NINA VARNER DEATHERAGE


Address: 931 Spring St, Placerville, CA 95667-4543
Phone: 5306216320

NINA VARNER DEATHERAGE (NPI# 1548381874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548381874
Entity Type Individual
Full Name NINA VARNER DEATHERAGE
Credential R.N., B.S.N., P.H.N
Practice Address 931 Spring St
Placerville
CA 95667-4543
Practice Telephone 5306216320
Practice Fax Number 5302952589
Mailing Telephone 5306216320
Mailing Fax Number 5302952589
Enumeration Date 2007-04-03
Last Update Date 2010-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SC1501X Clinical Nurse Specialist
Specialization: Community Health/Public Health
320537 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 931 SPRING ST
City PLACERVILLE
State CA
Zip Code 95667-4543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639215767 El Dorado County Public Health Laboratory Clinical Medical Laboratory 931 Spring St, Placerville, CA 95667-4543 2007-01-29
1679750830 Alicia Paris-pombo Family Medicine 931 Spring St, Placerville, CA 95667-4543 2008-01-29
1427272459 County of El Dorado Clinic/Center 931 Spring St, Placerville, CA 95667-4543 2007-04-12
1366584310 Catherine A Dunbar Licensed Vocational Nurse 931 Spring St, Placerville, CA 95667-4543 2007-02-13
1811039415 Jason Edward Eberhart-phillips Preventive Medicine 931 Spring St, Placerville, CA 95667-4543 2007-02-12
1306987490 Elizabeth Jane Zorn Nurse's Aide 931 Spring St, Placerville, CA 95667-4543 2007-02-09
1306987482 Irene Lee Lancaster Licensed Vocational Nurse 931 Spring St, Placerville, CA 95667-4543 2007-02-09
1568503647 Iveeth Gabriela Bannister Nurse's Aide 931 Spring St, Placerville, CA 95667-4543 2007-02-09

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1033610399 Julie Marie Halsall Counselor 2844 Coloma Street, Placerville, CA 95667 2018-02-22
1053839092 County of El Dorado Community/Behavioral Health 3057 Briw Road, Suite A, Placerville, CA 95667 2017-08-30
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Taxonomy Information

Taxonomy Code 364SC1501X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Community Health/Public Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043344450 Valerie Lee Bellnap Clinical Nurse Specialist 561 Canal St, Placerville, CA 95667-4312 2007-03-15
1508908575 Kathleen Robertson Clinical Nurse Specialist 3057 Briw Rd, Placerville, CA 95667-5321 2007-02-13
1316088149 Phyllis Jean Goldie Clinical Nurse Specialist 929 Spring St, Placerville, CA 95667-4543 2007-02-12
1447373261 Michael Ungeheuer Clinical Nurse Specialist 929 Spring St, Placerville, CA 95667-4543 2007-04-08
1154452845 Janine Michele Petrick Clinical Nurse Specialist 929 Spring St, Placerville, CA 95667-4543 2007-03-07
1770613291 Dee Cern Taylor Clinical Nurse Specialist 929 Spring St, El Dorado Co. Public Health Dept., Placerville, CA 95667-4543 2007-03-06
1710021456 Melissa Williams Clinical Nurse Specialist 929 Spring St, Placerville, CA 95667-4543 2007-02-16
1750424933 Sandy Stokes Clinical Nurse Specialist 929 Spring St, Placerville, CA 95667-4543 2007-02-15

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1467794453 Katie Greene Clinical Nurse Specialist 2751 Tropicana Dr, Riverside, CA 92504-4277 2013-03-18
1780978379 Andre Mitch Michaud Clinical Nurse Specialist 4215 26th St, San Francisco, CA 94131-1836 2011-06-01
1245467380 Alice Y Wong Clinical Nurse Specialist 1171 Mission St, Medical Respite Program, San Francisco, CA 94103-1519 2009-06-16
1871620369 Patricia Jane Murphy Clinical Nurse Specialist 1360 Johnson Blvd Ste 103, S Lake Tahoe, CA 96150-8201 2007-02-28
1538296330 Linda D Cromwell Clinical Nurse Specialist 981 Silver Dollar Ave, Suite 1, South Lake Tahoe, CA 96150-7761 2007-02-27
1477697985 Cindy Slotterback Gaffney Clinical Nurse Specialist 950 Sevier Rd, Cool, CA 95614-9439 2007-02-16
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1437509981 Siddarth Varun Arya Clinical Nurse Specialist 405 W 5th St, Santa Ana, CA 92701-4599 2016-06-15
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Competitor

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City PLACERVILLE
Zip Code 95667

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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