Provider Demographics
NPI:1962849471
Name:RAJAPAKSE, DEBORAH RAJEENI (RNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:RAJEENI
Last Name:RAJAPAKSE
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:RAJEENI
Other - Last Name:RAJAPAKSE-SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNP
Mailing Address - Street 1:4152 ANISE CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-0791
Mailing Address - Country:US
Mailing Address - Phone:213-716-8295
Mailing Address - Fax:
Practice Address - Street 1:4152 ANISE CIR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-0791
Practice Address - Country:US
Practice Address - Phone:213-716-8295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA543525363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANPF12366OtherCALIFORNIA BOARD OF REGISTERED NURSING