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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHERRILL DIANE PETHERBRIDGE, FNP

Active Sole Proprietor

SHERRILL DIANE PETHERBRIDGE, FNP is a Occupational Health Nurse Practitioner healthcare provider located in SANTA ROSA, California. NPI 1790946085 is currently active in the NPPES registry. Verify at CMS.

Occupational Health Nurse Practitioner · SANTA ROSA, CA

Registration Details

NPI Number
1790946085
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2008 (18.186395961995 yrs)
Last Updated
Sep 8, 2011
License
NP11649 (CA)
Sole Proprietor
Yes

Practice Information

Address
736 W JASMINE CIR
SANTA ROSA, CA, 954076778
Browse CA providers · Browse ZIP 95407
Phone
7074316387
Primary Specialty
Occupational Health Nurse Practitioner
363LX0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.