Provider Demographics
NPI:1295500239
Name:MONSON, DEBORAH ANN (PHD, RN, ACNS-BC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:MONSON
Suffix:
Gender:F
Credentials:PHD, RN, ACNS-BC
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 31
Mailing Address - Street 2:
Mailing Address - City:RIMFOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92378-0031
Mailing Address - Country:US
Mailing Address - Phone:760-832-2960
Mailing Address - Fax:
Practice Address - Street 1:11202 BENTON ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-0001
Practice Address - Country:US
Practice Address - Phone:909-825-7984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA476774364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health