Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 95018341 | CA |
N | 363LA2100X | Nurse Practitioner - Acute Care | 95018341 | CA |
NPI | 1013686823 |
---|---|
Provider Name | Ms. Emily Dreisbach |
First Address | Turlock, CA 95382-2016 |
Second Address | Turlock, CA 95382-2016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2021 |
Last Update Date | 08/10/2021 |