Dutra, Geraldine M
Dutra, Geraldine M is an individual health care provider with primary practice located at 632 W Gibson Rd , Woodland CA 95695-5169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Dutra, Geraldine M can be contacted via phone (530) 668-2600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA14146 | California |
Profile Details
| NPI number | 1396917043 |
|---|---|
| LBN Legal business name | Dutra, Geraldine M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Feb 14th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396917043 | NPPES |
| California | MEDICAID | GR0079250 | |
| California | Other | ZZZ13239Z | |
| California | Other | PA14146 |
Popular Providers
-
Webster, Kristen M
1321 Cottonwood St Fl 3 , Woodland CA 95695-5131 -
Lundberg, Matthew Steven
5601 De Soto Ave , Woodland Hills CA 91367-6701 -
Park, Daniel
1441 Eastlake Ave Ste 7416, Los Angeles CA 90089-2211 -
Rhoads, Emily A
632 W Gibson Rd , Woodland CA 95695-5169 -
Christiansen, Jennifer Hope
265 N Broadway St , Portland OR 97227-1800 -
Jarbath, Marie Denise
17448 Highway 3 Ste 136, Webster TX 77598-4141 -
Mccord, Robert J
206 East Jericho Turnpike , Huntington Station NY 11746 -
Jenkins, Paul W
25 Hospital Center Blvd Ste 306 , Hilton Head Island SC 29926-2739