Basic Information
Provider Information
NPI: 1972593671
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZWEIFEL-POEHLMANN
FirstName: DEBRA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26357 MCBEAN PKY.
Address2:  
City: SANTA CLARITA
State: CA
PostalCode: 91355
CountryCode: US
TelephoneNumber: 8188375785
FaxNumber: 8188981842
Practice Location
Address1: 26357 MCBEAN PKY.
Address2:  
City: SANTA CLARITA
State: CA
PostalCode: 91355
CountryCode: US
TelephoneNumber: 8188375785
FaxNumber: 8188981842
Other Information
ProviderEnumerationDate: 10/24/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XNP10004CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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