Basic Information
| Provider Information | |||||||||
| NPI: | 1932868429 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAYMON | ||||||||
| FirstName: | ANNA | ||||||||
| MiddleName: | THERESE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 46480 RYWAY PL | ||||||||
| Address2: | |||||||||
| City: | PALM DESERT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922605523 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7604497848 | ||||||||
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| Practice Location | |||||||||
| Address1: | 265 N EL CIELO RD | ||||||||
| Address2: | |||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922626940 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603208814 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2021 | ||||||||
| LastUpdateDate: | 12/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 95019126 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.