Individual provider · NPI-1

Deborah Kay Hastie

Nurse Practitioner, Pediatrics · Stockton, CA

NPI number1043224769
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1043224769
Entity type
Individual (NPI-1)
Name
Mrs. Deborah Kay Hastie
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics271738CAYes

Practice location

73 W March Lane
Suite F
Stockton, CA 95207

Phone 209-952-5555 · Fax 209-952-1907

Mailing address

73 W March Lane
Suite F
Stockton, CA 95207

Phone 209-952-5555 · Fax 209-952-1907

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