Provider Demographics
NPI:1053513572
Name:DEUTSCH, GENEVIEVE DELLA ROSA (NP)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:DELLA ROSA
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6796 SUMMIT RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-1739
Mailing Address - Country:US
Mailing Address - Phone:619-583-8008
Mailing Address - Fax:
Practice Address - Street 1:765 MEDICAL CENTER CT STE 209
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6600
Practice Address - Country:US
Practice Address - Phone:619-427-8892
Practice Address - Fax:619-422-7660
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116083363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology