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Contact Information

ROSA M PERALTA, FNP
401 PICACHO ROAD
WINTERHAVEN, CA92283
 Phone: 760-572-4100
 Fax: 760-572-2113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ROSA M PERALTA · (Female)

NPI # 1154580629
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/09/2008
Last updated 04/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # NP17863
  • AZ Medicaid 020511
  • CA Other 8HH866 INDIV PROV B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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