Therrell, Alice Lane

Therrell, Alice Lane is an individual health care provider with primary practice located at 4160 Suisun Valley Rd #132 , Fairfield CA 94534. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Therrell, Alice Lane can be contacted via phone (530) 304-7659.

Contact Information

Primary practice address
4160 Suisun Valley Rd #132 Fairfield CA 94534
Phone: (530) 304-7659
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 797771 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23149 California

Profile Details

NPI number 1174953368
LBN Legal business name Therrell, Alice Lane
Credentials RN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2013
Last updated Nov 25th, 2013 - about 13 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.

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