Provider Demographics
NPI:1285306456
Name:DUNCAN, DENISE D (FNP-C)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:D
Last Name:DUNCAN
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 1:38780 TRADE CENTER DR
Mailing Address - Street 2:STE 1C
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-3641
Mailing Address - Country:US
Mailing Address - Phone:661-947-5600
Mailing Address - Fax:800-890-6055
Practice Address - Street 1:38780 TRADE CENTER DR # 1C
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3641
Practice Address - Country:US
Practice Address - Phone:661-714-0885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014086363LF0000X
CA95017573363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily