Provider Demographics
NPI:1730200361
Name:CLAUSEN, DEBRA S (NP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:S
Last Name:CLAUSEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13611 MESA CREST DR
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-5821
Mailing Address - Country:US
Mailing Address - Phone:909-446-8335
Mailing Address - Fax:909-558-3023
Practice Address - Street 1:11285 MOUNTAIN VIEW AVE
Practice Address - Street 2:SUITE 40
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3862
Practice Address - Country:US
Practice Address - Phone:909-558-3036
Practice Address - Fax:909-558-3023
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA316918363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily