Provider Demographics
NPI:1346736089
Name:HARTSOCK, EUNICE PAULA DAYANGHIRANG (FNP-C)
Entity Type:Individual
Prefix:
First Name:EUNICE PAULA
Middle Name:DAYANGHIRANG
Last Name:HARTSOCK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10719
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-0719
Mailing Address - Country:US
Mailing Address - Phone:661-395-0900
Mailing Address - Fax:661-395-0700
Practice Address - Street 1:4900 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0418
Practice Address - Country:US
Practice Address - Phone:661-395-0900
Practice Address - Fax:661-395-0700
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009376363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily