Provider Demographics
NPI:1598071193
Name:EFFINGER, DEBORAH JO (NP)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:JO
Last Name:EFFINGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:JO
Other - Last Name:EFFINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:31493 RANCHO PUEBLO RD
Mailing Address - Street 2:STE 107
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-4833
Mailing Address - Country:US
Mailing Address - Phone:951-440-0797
Mailing Address - Fax:
Practice Address - Street 1:31493 RANCHO PUEBLO RD
Practice Address - Street 2:STE 107
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-4833
Practice Address - Country:US
Practice Address - Phone:951-303-3337
Practice Address - Fax:951-303-2810
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19309363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily