Provider Demographics
NPI:1386402287
Name:DEERING, MARGARET L (FNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:L
Last Name:DEERING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79559 CARMEL VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-0946
Mailing Address - Country:US
Mailing Address - Phone:707-696-6323
Mailing Address - Fax:
Practice Address - Street 1:79559 CARMEL VALLEY AVE
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-0946
Practice Address - Country:US
Practice Address - Phone:707-696-6323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95029339363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily