Desirae Rachelle Exendine
Nurse Practitioner - Neonatal (Critical Care)
6501 Coyle Ave
Carmichael
, California 95608-0306
Desirae Rachelle Exendine
Nurse Practitioner - Neonatal (Critical Care)
6501 Coyle Ave
Carmichael
, California 95608-0306
(573) 953-2323
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Desirae Rachelle Exendine
- 1124 Adora Cir
- Roseville, CA
- Zip : 95678-4408
- Phone : (573) 953-2323
Second Address
- Desirae Rachelle Exendine
- 6501 Coyle Ave
- Carmichael, CA
- Zip : 95608-0306
- Phone : (916) 537-5135
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 95015583 | CA |
National Provider Identifier
| NPI | 1215541131 |
|---|---|
| Provider Name | Desirae Rachelle Exendine |
| First Address | Roseville, CA 95678-4408 |
| Second Address | Carmichael, CA 95608-0306 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2020 |
| Last Update Date | 01/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.