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Contact Information

ALICE L THERRELL, RN, FNP-BC
4160 SUISUN VALLEY RD #132
FAIRFIELD, CA94534
 Phone: 530-304-7659
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ALICE L THERRELL · (Female)

NPI Number 1174953368
Status Active
Credentials RN, FNP-BC
Entity Individual
Enumeration date 11/25/2013
Last updated 11/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 23149
  • CA License # 797771
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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