Sharon Faye Deburen, NURSE PRACTITIONER
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Tiburon, CA
NPI 1235219239 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235219239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- V163669 (CA)
- Practice address
- 35 Via Los Altos
Tiburon, CA 94920-2059 - Phone
- (415) 383-1405
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V163669 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | V163669 | CA | Yes |
Addresses
Primary practice location
35 Via Los Altos
Tiburon, CA 94920-2059
Mailing address
35 Via Los Altos
Tiburon, CA 94920-2059
Phone (415) 383-1405
Other providers in Tiburon, CA
- Core IV Hydration and Med Spa LLC
- Shaun Coughlin
- Melinda Cuthbert
- Danny Blaine Leeds DDS
- Douglas Marshall Davis
- Jennifer DO
- Dragon Physical Therapy PC
- Ariel Chu Dunn
- Dean Echenberg
- Michael Edelstein
All providers in Tiburon, CA · Obstetrics & Gynecology Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.